Membership Form

You may use this page to become a member of the Seniors Association or renew an existing membership.

How to fill in this form?

Fill in the applicable information boxes below and then press the "SUBMIT" button. A * means that information is mandatory. If you are unsure, you may call us at any time.

What will it cost?

Membership fees depend on how many are joining and for how long. Costs range from $35 per year for a single member to $700 for a lifetime membership for a maximum of 3 people at one address. See list below for full options.
You will pay an additional fee ($15/a in Canada) if you need to have our newsletter, Vista, delivered by mail rather than our free home delivery.

What happens after I fill in this form?

This form will be sent immediately to The Seniors Centre. You do not need to pay now. One of our friendly volunteers will contact you by phone (on the number you provided) within 2 business days (usually sooner).

Welcome - or welcome back - to the Seniors Association!

Membership Form

Is this a new membership? * No, a renewal
Yes, I'm new

Membership Type

Membership Type *

Primary Member

First Name *

Initials

Last Name *

Date of Birth

Address Details (for Primary member)

Apt #

Line 1 *

Line 2

City *

Province *

Postal Code *

Telephone *

Additional member (up to 2 allowed for household membership)

First Name 2

Initials 2

Last Name 2

Date of Birth 2

First Name 3

Initials 3

Last Name 3

Date of Birth 3

Mailing required *

Donations: We welcome donations to the Association. You can do this when paying for membership. Please indicate an amount below should you wish.

Donation amount ($)

Type the characters you see in the picture below