Family Membership - Annual Form

Primary Cardholder Information

This membership is

New

Renewal

Title *

If other:

First name: *

Last name: *

Address: *

City: *

Province: *

Postal Code: *

Telephone: *

Email: *

If none indicated, a Member+Guest card will automatically be issued.

Title

If other:

First name:

Last name:

Email:

I would like to receive emails about upcoming member events and programming *

Yes

No

If Applicable

From:

Mailing address:

Press submit to proceed to payment page

1723 Hollis Street, Halifax, Nova Scotia B3J 1V9

Call 902 424 5280

341 Main Street, Yarmouth, Nova Scotia B5A 1E7

Call 902 749 2248

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