Society Membership Form Please enable JavaScript in your browser to complete this form.Name *FirstLastCompany NameAddressPhone NumberEmail *The Society will not distribute of sell membership or donor lists at any time.Membership YearAnnual MembershipStaff-non-voting $1.00 (Cash Only)Personal/Individual $10.00Business $10.00Checkboxes (copy)CashChequeEtransfer: eft@ccssebc.comPlease include your full name and phone number with payment.I give permission to use my photograph publicly to promote the activity of the Community Connections Society. I understand that the images may be used in print publications, online publications, presentations, websites, and social media.YesNoI would like to receive bi-annual Society Updates NewsletterYesNoThank you for your interest and support of Community Connections Society of Southeast BC.Submit
