Membership Payment by eTransfer

Please sign me up – my eTransfer will follow

This form allows you to join the WLCC and/or make a donation by making an eTransfer using the Interac service available through your bank. You will not be required to supply a security question and answer.

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

Instructions:

1. Enter your contact information the the boxes provided.
2. Enter the name associated with the account sending the eTransfer where indicated. (This is so that we can match your form with the payment made by the bank in case the names differ.)
3. Click the Submit button at the bottom when done.
4. Go to your bank’s website and send Interac payment to: [email protected]
   NOTE: Your Interac payment confirmation will appear with the name of the WLCC Treasurer: Deborah Hall

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 in your Interac transfer.

Donation for WLCC goes towards water testing and special projects.

Name *

First

Last

Address 1 *

Street Address

Address 2

Apartment/Unit

City *

Municipality 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].

Name on the bank account making the Interac payment *

First

Last

Make your Interac payment to: [email protected]. Interac confirms payment with the name of the person whose account sent the funds. This may be different from your name, so it is required to enable us to match payment with the application.

Comment or Message (optional)

Message

Submit