Please print this form, fill out and mail or fax to:

Bridge Housing Society for Women
100 E Cordova
Vancouver BC V6A 1K9
Ph: 604-633-1510
Fax: 604-633-1509

Bridge Housing Society is a not-for-profit community organization, which has set as its annual membership fee a sum of $4.

Bridge Housing Society for Women Application for General Membership

I, ______________________________have read, understood and agree to the Mission Statement of Bridge Housing Society for Women and wish to apply for general membership in the Society.
Address:
Telephone:
Fax:
Email:
Membership Fee: $4.00
Signature:
Application for General Membership is hereby accepted
Director:
Date: