Become a Member

Become a member today by completing the form below:

If finances are a barrier to you becoming a member please let us know. Contact communications [at] qmunity.ca.

Membership Type*

I would like to purchase the following membership:

I am a:

Please select whether you are a new or returning member. If you aren't sure, please skip this question.

Membership Fee*

Please list the amount of your membership payment (see sliding scales above).

Donation Amount (Optional)

If you would like to include an optional donation, please detail that below.

Total Enclosed*

Will pay by:*

Your membership application will remain "open" until payment is received. You will be notified of approved membership through email.

Mail or drop off membership payment to:
QMUNITY, 1170 Bute Street, Vancouver, BC, V6E 1Z6

Please make all cheques payable to QMUNITY.

For more information, or to pay by credit card, contact:
(604) 684-5307 Ext. 113 or [email protected]

Full Name*

Family, Organization, or Business Name

*

Address City Province Postal Code

Phone*

Email*

It's OK to contact me by:*

Privacy Policy*

I understand QMUNITY will keep my information confidential and will never sell it to third parties. I consent to the collection, use and disclosure of the information I provide, in order that QMUNITY may provide me with benefits related to membership or rewards/ recognition associated with QMUNITY’s donor recognition policies. I acknowledge that QMUNITY may from time to time forward information of programs or fundraising activities of QMUNITY.