Membership Form

I hereby apply for membership with Mount Pleasant Neighbourhood House and agree to uphold its mission and abide by the values of the House and the Association of Neighbourhood Houses of BC in all my dealings both inside and outside the house.

Name

First Name

Last Name

Email Address

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

Country

(###)

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Membership Type

Individual - 1 Year - $6.00

Seniors - 1 Year - $6.00

Family - 1 Year - $8.00

ANHBC Membership is an extra $2.00

Yes, add $2.00 ANHBC Membership

All memberships include access to our monthly newsletter that includes information about programs and events at MPNH.

I would like to receive the newsletter by email.

I understand that until I have paid the membership fee in person at the Neighbourhood House, I have not yet completed my membership.

Yes, I understand.

Once form has been submitted, please visit MPNH in person to complete your payment. Memberships are valid for one year and the membership year runs from August 17 of the current year to August 16 of the following year.