Membership Form
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Type of Membership
Select
Individual $12 per year
Family $20 per year
Seniors (55 - 65) $10 per year
Seniors 65+/Students $7 per year
Business $50 per year
Donation to the Society
Donation to the Restoration
Do you wish an Income Tax
Receipt for your donation?
Select
Yes
No
First Name
Last Name
Email
Address
City
Prov
Postal Code
Telephone
include area code
Fax
include area code
Would you like to be on our
email list to be informed of
coming events and project updates?
Select
Yes
No
Are you interested in
Volunteering
Select
Yes
No
Mail CHEQUE/DONATION to:
Marpole Museum & Historical Society
8743 SW Marine Drive
Vancouver, BC V6P 6A5
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