Manotick Village & Community Association Membership Application/Renewal Form

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(Please check the appropriate boxes)

Are you 18 years of age or older? *

Yes

Please tell us if this is a New Membership request or a Renewal *

New Membership

Renewal

Not sure, can you verify if I am a Member or if it is time to renew

First Name *

Last Name *

House Number *

Street Name *

City *

Province *

Postal Code *

Phone Number *

Please tell us which Membership you would like *

Single membership for one year ($10)

Single membership for two years ($20)

Family membership (two people) for one year ($15)

Family membership (two people) for two years ($30)

If you have selected a Family Membership, this entitles a second adult who lives in your home to be part of the Membership. We require their first and last name.
*Note, they must be 18 years of age or older

If you are getting an Individual Membership, you can skip this portion of this section.

First Name (Second Member)

Last Name (Second Member)

Email address (if they would like to receive the MVCA Newsletter)

Phone number (if different than above)

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