Note: This form only processes the information provided and sends it to a printer friendly page. Once there, if you choose to make a payment by credit card, it is safe to enter your credit card numbers as the information is then only sent to your printer. If you are uncomfortable entering credit card information into a computer you can simply print the page without entering it and then fill in the space by hand.
Prefix (Mr., Ms.): Please choose a prefix: Mr. Mrs. Miss Ms. Dr.
First Name:
Last Name:
Address Line 1:
Address Line 2:
Address Line 3:
City:
Province/State:
Country:
Postal Code:
Phone:
Email:
Send my newsletter via Please select a preference: e-mail regular mail
Membership Category: Please select a category: Family $40.00 Individual $20.00 Senior/Volunteer/Junior (under 19) $15.00
This membership is a: Please select type: renewal new membership
I would like to give an additional gift of: - Please select an amount: $20.00 $50.00 $100.00 other
Other Amount: $
I would like to become a monthly donor: - Please select an amount: $10.00 $15.00 $25.00 other
Payment Method: Select your preference Cheque Visa MasterCard
Thank you! That is all the information we require to process your gift or membership information. You can now click the 'Process for Printer' button at the bottom of the page and deliver the page with your cheque or credit card information to the address provided. You can help us better meet the needs of all our members and supporters by completing the following three additional survey questions:
How did you find out about SPES?
What are your interests in SPES?
Would you use a secure connection or a service such as Paypal to make membership and or donation payments to SPES? Select the most appropriate statement:
Back
