Membership Application New Membership Renewal Fields with red asterisks (*) must be filled in. When renewing, please fill in only contact information that has changed. Name and E-mail address must always be filled in in both cases. Name(s) and Contact Information Name #1:* Name #2:* Address:* City:* Province:* Postal Code:* Phone:* E-mail:* Membership Family (1 household) — $30/yr Single (1 adult) — $25/yr Senior (1 or 2 adults, 65+) — $20/yr Student (1 full-time student) — $15/yr Membership: $ Newsletter Please choose one or more: English (pdf via E-mail) Japanese (pdf via E-mail) English (paper via post) Japanese (paper via post) If you choose to receive both English and Japanese paper copies, there is an extra fee of $10 due to the extra mailing cost. Newsletter: $ Donation We would greatly appreciate any donation to help support our programs and events. Donations will go to the OJCC, and you will rceive a charitable tax receipt. Thank you for your support! Donation: $ Payment Please choose one of the methods below, and pay the total amount shown here. Internet by credit card Internet by E-Transfer Cheque by postal mail When you press "submit", you will receive a confirmation E-mail with further instructions. Total: $ Photographs We often take photographs at OJCA/OJCC sponsored events and post them on our web site, our Facebook page, or other media sites. If you do not wish to have your (or your family's) photos posted, please let us know at firstname.lastname@example.org. Other Comments Please let us know of any concerns or issues related to your application.