BC Institute Against Family Violence Membership
Dedicated to the Elimination of Family Violence Through Research and Information
small fontslarge fonts 

2005/06 MEMBERSHIP APPLICATION FORM

Please note that you must be a resident of the province of British Columbia in order to become a member of our Resource Centre.

I wish to purchase a $40 BCIFV Resource Centre membership. This membership fee entitles me to borrowing privileges for one full year and a copy of the BCIFV Resource Centre Directory. I wish to also be placed on the mailing list, to receive the BCIFV Newsletter. (BC Residents only)

I wish to purchase a $15 BCIFV Resource Centre Directory. I understand that this fee will be applied to my Resource Centre membership, should I later decide to join. (BC Residents only)

 

 

In addition to membership, you will receive our newsletter three times a year. Please indicate if you would like to receive a paper copy or email notification.

Paper Email

Please fill out the following information, print it out and either mail or fax it with payment.

Please make cheque or money order payable to:
BC Institute Against Family Violence
#802 - 207 West Hastings
Vancouver, BC V6B 1H7

Fax: (604) 669-7054
Email: reception@bcifv.org

Name:

Position:

Organization:

Address:

City:

Province/State:

Postal Code/Zip Code:

Email:

Phone Number:

Fax:

Credit Card Number:

Expiry Date:

Comments:

We accept VISA and Mastercard.

Please note that you must be a resident of the province of British Columbia in order to become a member of our Resource Centre.

The BCIFV is committed to protecting any personal information that you provide to us. Your privacy is important to us, and as such, the BCIFV will not sell, rent or trade your personal information collected on this site. View our privacy policy for further information.

This page last updated August 17, 2005.
Copyright (c) 1996 BC Institute Against Family Violence.