Members 2009/2010

BC-AIRS Membership Profile

To add or update your agency's Membership Profile form, download the Membership Profile as a:

Rich text Format document (.rtf) which will open in any word processor.
or a Word File
or cut and paste the following form into a wordprocessor
or print the page using your browser.

Forward the completed form to:

Jack Vickery,
BC-AIRS Webmanager.
Email: webmaster@bc-airs.ca
or
BC-AIRS Treasurer/Membership
c/o Barb MacLellan
Email: barb.maclellan@nscr.bc.ca
North Shore Community Resources Society
#201, Capilano Mall, 935 Marine Drive
North Vancouver, BC V7P 1S3

Tel: (604) 985-7138
Fax: (604) 985-0645

      Membership Profile Update

	Name of Organization   ____________________________________
       
	Address  __________________________________________________

	City  __________  Prov.  ________  Postal Code  ___________

	Phone:   _____________________   Fax  _____________________

	E-Mail _________________________ TTY ______________________

	Web site:__________________________________________________

	Office Hours ______________________________________________

	Geographic Area(s) Served _________________________________

	Executive Director ________________________________________

	BC-AIRS Contact Person ____________________________________

	BC-AIRS Contact Email _____________________________________

	Title _______________________ Direct Line _________________

	Number of I&R Staff _______ Number of I&R Volunteers ______

	Funding Source(s) for I&R Service _________________________

	___________________________________________________________

	___________________________________________________________

	Description of I&R Service ________________________________

	___________________________________________________________

	___________________________________________________________

	___________________________________________________________

	___________________________________________________________

	___________________________________________________________

	Database(s) used to maintain information __________________

	 ___________________________________________________________

	___________________________________________________________

	Other Programs and services of the organization ___________

	___________________________________________________________

	___________________________________________________________

	___________________________________________________________

	___________________________________________________________
      
	___________________________________________________________

	Publications Produced _____________________________________

	___________________________________________________________

	___________________________________________________________

	Computer Program(s) used to produce publications __________

	___________________________________________________________

	___________________________________________________________

	Funding source(s) for publications ________________________

	___________________________________________________________

	___________________________________________________________

	Other Comments ____________________________________________

	___________________________________________________________

	___________________________________________________________
       
	___________________________________________________________

Information about your agency will appear
on the BC-AIRS website:

http://www.bc-airs.ca

Useful information...

BC-AIRS BROCHURE
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Add or update your group's Membership Profile.

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