To Purchase Online /Pay Membership Online Application for MEMBERSHIP Membership Application Category*Individual ApplicationFamily ApplicationCorporate ApplicationPrimary ApplicantName First Last Date of Birth* Date Format: MM slash DD slash YYYY Email* Company/Corporation NameAddress Street Address City, Province Postal Code Home PhoneAlt PhoneSecondary/Family Applicants (Family Membership)Additional ApplicantsNameEmailAdult or Youth Secondary/Corporate Applicants (Corporate Membership)Additional ApplicantsNameEmailAdult or Youth Terms and ConditionPlease read and confirm the following terms and conditions by putting a check mark. I understand that the Board of Directors has the right to refuse my application and revoke my membership at any time I understand and agree to follow our Code of Conduct I agree to volunteer in AT LEAST one SPCA fundraiser or come up and help around the shelter I understand that the memberships expire on April 31st of the year they were purchased. Recognition WaiverI DO authorize the FMSPCA to publish my name in the member's list on their web page.I DO NOT authorize the FMSPCA to publish my name in the member's list on their web page. I would prefer to an anonymous memberPlease post my name asWould you be interested in becoming a Foster Parent?*YesNoWould you be interested in volunteering?*YesNoUse of Information* I understand and authorize the FMSPCA to use all e-mail addresses listed on this application form as the primary form of communication to members. E-mail addresses shall only be used for FMSPCA purposes and they will not be shared with other organizations. Signature*CAPTCHA This iframe contains the logic required to handle Ajax powered Gravity Forms.