Membership Registration Form PCA Membership Registration Form Please complete the following to activate your PCA membership. Your payments will be processed via PayPal. The Parkdale Community Association respects the privacy of its members and shall not disclose, distribute or rent its e-mail subscriber news list to any third party, nor shall it permit anyone else to do so. Members will only be contacted for providing community-related information or volunteer opportunities they have indicated on this form. 5% GST included in membership price. GST # 10781-4949 Your Name* First Last Address* Street Address Address Line 2 City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland & LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Phone*Email* I agree that my contact information may be used for the sole purposes of community information provision or volunteer opportunities.* I agree. I do not agree. 1-Year PCA Membership*For individuals and families, your membership grants access to PCA events and services. You will also be eligible to vote in the PCA's annual AGM if you are a resident of Parkdale.For businesses, your membership enables the PCA to contact and work with you to mutual benefit, such as for brand awareness among our membership group and opportunities for cross-promotion.Prices include 5% GST.Family Membership - $ 31.50 CADSingle Membership - $ 21.00 CADSenior Membership - $ 5.25 CADBusiness/Organization Membership - $ 52.50 CADHow many other members of your family (not including yourself) are over 18, and are therefore eligible to vote at the PCA AGM?Please enter a value between 0 and 5.Please enter the name of your first family member who is over 18 (not including you). First Last Please enter the name of your second family member who is over 18 (not including you). First Last Please enter the name of your third family member who is over 18 (not including you). First Last Please enter the name of your fourth family member who is over 18 (not including you). First Last Please enter the name of your fifth family member who is over 18 (not including you). First Last VolunteersThe Parkdale Community needs volunteers to continue to grow and thrive, and to enrich the community for everyone. Please indicate areas you would be interested in volunteering. A member of the PCA will be contacting you regarding your selection(s).Children’s ActivitiesHoliday PartiesSpecial EventsCommunity GardenSkating RinkSoccerHandymanGeneral VolunteeringOther Skills or TalentsBoard of DirectorsMembershipsPlanning & DevelopmentCasino and/or FundraisersGrants, Donations, SponsorshipFacilities RentalsMarketing & CommunicationsFinance & AccountingTotal $ 0.00 CAD This iframe contains the logic required to handle AJAX powered Gravity Forms.