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Membership and Donation Form

There are two ways to join or make a donation:

  1. Click this Membership Form link to access the PDF version of the (Acrobat Reader required), fill it out in your browser, print it, and mail it with your cheque to:

    BCLG, 325 Melvin Avenue #201, Hamilton, Ontario, L8H 2K8

  2. Join instantly! or make a donation using PayPal to pay securely with your credit card. First fill out and submit the nline Membership Form below, then we'll connect with PayPal so that you can make your payment. PayPal is a secure and convenient way to make a payment.

 

Beach Canal Lighthouse Group Online Membership Form
Please use this handy online form to become a member, renew your membership,
give a donation, or give a gift membership.
MEMBER CONTACT INFORMATION
Your Name(s):
[New Membership
or Renewal]
The name is required for the member(s).
Address Line 1: The member's address is required.
Address Line 2:
City:
Province/State: Please select the province or state of residence.
Postal/Zip Code:
Daytime Phone:
E-Mail:
Check any boxes
that apply:


Please select new or renewing membership.

Gift Membership
Select membership category:



(All prices are in Canadian funds)

DONATION to the BCLG
Donation Amount: The donation amount must be a valid number.The donation amount cannot be less than zero.
   
GIFT SUBSCRIPTION (Skip to Payment Option if this is not a Gift Subscription)
Giving a gift membership?
Please enter the your Contact info in the boxes below in case we need to contact you about this gift.
Donor Name:
Donor Address 1:
Donor Address 2:  
Donor City:
Province/State:
Postal/Zip Code:
Donor contact phone:
Donor contact e-mail:
(optional)
   
PAYMENT OPTIONS
Please select your payment method: (mailed to BCLG at the address above)
(online payment thorugh PayPal)
 
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