Membership Payment by Cheque

Please sign me up – my cheque will follow by mail

This form allows you to join the WLCC and/or make a donation by mailing in a cheque.

If you wish to make your membership payment by eTransfer please go to Membership Payment by eTransfer.

Instructions:

1. Enter your contact information in the boxes provided.
2. Click the Submit button at the bottom when done.
3. Mail your cheque payable to
   Williams Lake Conservation Company:
   9 Halls Road
   Halifax, NS B3P 1P4

Joining or Renewing? *

• I would like to join WLCC for the first time: $20.00 per year
• I would like to RENEW my WLCC membership: $20.00 per year

Membership Fee: $20 per year *

$20.00 per year

Would you like to make an optional donation toward the WLCC's conservation efforts? If so, enter your donation in the box below and include it in your cheque.

Donation for WLCC goes towards water testing and special projects.

Name *

First

Last

Address 1 *

Street Address

Address 2

Apartment/Unit

City *

City or RR#

Province *ABBCMBNBNLNSNTNUONPEQCSKYT

2 Letter Provincial Code

Postal Code [eg: K1A 4B1] *

Canada Postal Code

Your personal contact Email address *

Email

Confirm Email

This is the email address for corresponding with the WLCC, for membership emails, etc. NOTE: emails from the WLCC may end up in your Spam or Junk folder unless you add these addresses to your own mail program: [email protected] and [email protected].

Comment or Message (optional)

Phone

Submit