Membership Renewal | Seniors for Climate Action Now

Thank you for renewing your membership. Please review and update the information we have for you on file.

Please note that SCAN! has a Policy of Mutual Respect to ensure that all SCAN! meetings are collaborative, collegial, non-adversarial and free of harassment and discrimination.

Membership Renewal

Membership Type *

General SCAN Membership - $ 5.00

Additional Donation, C$

Total Amount

Name and Address

First Name *

Last Name *

Email *

Phone

Street Address

City

Region or County

Postal Code *

Province or Territory

Country

Billing Name and Address

Billing First Name *

Billing Middle Name

Billing Last Name *

Member Renewal

1. How would you like to be involved over the next year? *

Attend monthly general meetings

Participate in campaigns or actions

Join a committee

Keep me informed about SCAN! activities by email

Join a local/regional group in my area of Ontario

Other

Please check all that apply.

Other

If you choose "other" please specify.

2. What skills might you be able to contribute?

Examples: research, writing, music, art, graphic design, social media, financial or fundraising, etc.