2020 OPIRG Brock Membership Registration Form
Hello and welcome to your 2020 OPIRG Brock membership!

This form is for members of unions or community organizations who have been opt-ed into an OPIRG Brock membership through their membership with that unions or community organizations (ex. all CUPE 4207 members are opted into their OPIRG Brock membership through their union membership). Your membership for this year remains active until December 31st each year and then will be automatically renewed on January 1 each year. Upon renewal, the Membership Registration Form for that year will be emailed out to everyone.

By registering your membership, you are able to run in the OPIRG Brock annual elections, vote in the OPIRG Brock Annual General meeting taking place in September 2020, as well as access all of the other privileges of an OPIRG Brock member outlined in OPIRG Brock Membership Policies. The reason you need to register your membership is because we use our registration list to consult with your union/ community membership to ensure you have an active membership prior to the OPIRG Brock AGM.

To maintain a membership-in-good-standing, you must uphold the OPIRG Brock Membership Policies and the Safer Space Policy, as well as other relevant OPIRG Brock policies (all available on https://www.opirgbrock.com/important-documents).

In the meantime, if you have any questions about your memberships or OPIRG Brock in general, please feel free to email info@opirgbrock.com.
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Contact Information
Please list the union local or community organization  or event affiliated with your OPIRG Brock membership. *
Name *
Pronoun(s)
Email *
Mailing Address
Phone number (not required)
Were you a member of OPIRG Brock in 2018-2019?
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Would you like your listed email to be added to the OPIRG Brock newsletter mailing list?
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Membership Agreement
Please check one box
By signing below, I indicate that to my knowledge I am in good standing with OPIRG Brock and wish to register my membership. I understand that  my membership may be revoked at any time if my actions conflict with the mandate, Safe Space Policy or any other policies of OPIRG Brock, jeopardize the reputation or future of OPIRG Brock, or otherwise causes harm to the community. NOTE: Any person who is a member of another Chapter of the Ontario Research group is not eligible for membership in the Brock chapter. *
Are you part of an organization that would like an Community Organization Membership?
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If yes, please list the organization and the email you would like to be contacted.
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