Become a Vital Society Member

Fill out the membership application form below.

Membership Application

Thank you for your interest in becoming a member of Vital Society. Please take a moment to tell us about yourself and your interest in becoming part of the Society.
Name*
Given Names Last
Address*
Street Address Address Line 2 City Province Postal Code Country
Phone*
Do you have a family member who is served by Vital Society?*
- Yes
- No
Would you be interested in Serving on the Board of Directors?*
- Yes
- No
The Annual Membership fee is $5.00 per person.
I have also read the Society’s Mission, Vision, Values and Aims and Society Bylaws, and I am willing to commit to uphold, respect and abide by the Society’s code of ethics.
Checking this box means I have read all above mentioned documents.*
- yes
The personal information on this form will be kept confidential. It will be used for the following purposes:
- To process the membership transaction and to issue a tax receipt for donations, if applicable.
- To create voting lists for the Annual General Meeting.
- To send you newsletters, bulletins, occasional surveys and information about upcoming activities or special events. You can unsubscribe at any time.
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V.I.T.A.L. Society

Phone:
(250) 748-5899

Location:

Valley Integration to Active Living Society
156-D Government Street
Duncan, British Columbia
V9L 1A2

LINKS

CYS Relias Learning
Employee Email