Become a Member Fill the form below or download the form by clicking here MembershipNewRenewalMembership expires December 31. Membership fee: $25.00.DonationI would like to make a donationDonation Amount$25$50$75$100Other AmountOther Donation AmountTax Receipt RequestedYesPurchaseI would like to make a purchasePurchase DescriptionPurchase AmountMember InformationName *If you are renewing your membership, you do not need to fill out your address again unless it has changed.Street AddressCityState/ProvinceZIP / Postal codeTelephone *Email *PaymentPayment Option *MasterCardVisaChequeCashTotal Amount *Please make cheques payable to Domestic Abuse Services and mail this form to #437 - 604 Columbia St., New Westminster, BC V3M 1A5.Credit Card Expiry DateSignature Required for Credit Card (type full name)Volunteer OpportunitiesVolunteer InterestYes, I would like to volunteerPlease contact me at the phone/email above regarding volunteer opportunities:Society fundraisingThrifters' ParadiseHelp Line OperatorMentoringYou can also renew, donate, or subscribe to the e-newsletter online at www.DomesticAbuseServices.ca.Charity Registration No. 889025193 RR0001. Receipts are issued for donations of $20 or more.Submit
