Seymour Arm Community Association

Please fill out form below to submit your membership application online.

REQUIRED FIELDS *

CONTACT INFORMATION

*First Name(s):

*Last Name:

Primary Phone:

Secondary Phone:

YOUR ADDRESS DETAILS (Winter Mailing Address)

*Address

*City

*Province/State

*Postal Code

*Country

SEYMOUR ARM ADDRESS

Road Name &
House Number

*email

INFORMATION ABOUT CHILDREN

Children at Home:

None

5 - 12 years

16 - 18 years

(check all that apply)

Under 5 years

12 - 16 years

Over 18 years

MEMBERSHIP TYPES AND PAYMENT METHODS

Membership type:

Family $10 per adult

Individual $10

Donation ($)

Payment Method:

Seymour Arm
Community Association
Box 18 Seymour Arm BC
V0E 2V2