Membership

SCC’s annual membership fee is $10.00. You must reside or be employed in the Cities of Surrey or White Rock 30 days immediately prior to the date of application.

To become a member:

• Submit the form below and use the Donation button to securely pay online with a credit card. (Note: Name of donator and applicant must match for confirmation of fees paid)

Become a Member with the Surrey Civic Coalition

Applicants must reside or be employed in the Cities of Surrey or White Rock for 30 days immediately prior to the date of application.

Personal Information

First Name	(required)
Last Name	(required)
Address:
City:	(required)
Province:
Postal Code:
Home Phone #:
Fax #:
Work/Cell #:
Email Address:

I want to get involved. I am interested in the following:
New Membership:	Yes No
Renewal of Membership:	Yes No
Date of Application:
Please Indicate any special interests or activities/committees you wish to join:
I am paying my Annual Membership fee of $10 through the Donate button:	Yes No
I will be sending a cheque or money order for $10 to the address below:	Yes No
Please Send Check or Money Orders, Payable To: Surrey Civic Coalition c/o Fred Girling 40-15860 82 Avenue Surrey, BC V4N 0S8 Confidentiality We will only use your information to contact you regarding SCC matters and in compliance with campaign finance rules.
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