* Required Fields Don't forget to "Submit" at the end

Community Hall Membership Application

Agreement to become a Member of the Association

1. By submitting this form, iI agree to become a voting member of the Gabriola Island Community Hall Association (GICHA) and will abide by its constitution and by-laws. I understand that this application requires approval from the Board of the Association once the new by-laws are approved bythe provincial Registrar.

2. I agree to receive occasional communications form the Association via my email address.

3. I understand that this initial membership has no cost attached to it, and is valid until further notice. Thereafter I understand that the Board of the Association may attach a fee to annual memberships.

4. I am over the age of 16 and have lived on Gabriola for at least six months.

5. The membership will become valid on acceptance of this agreement by the GICHA Board.

Last Name *

Middle Name(s)

First Name *

Email (or enter "a@b.c" if don't have an email address) *

Phone Number *

Address *

City *

Postal Code *

Please let us know if there are any ways you would like to volunteer at our Community Hall:

Comments:

Please leave blank - these next two fields are only for GICHA data entry

Date Accepted +