Membership Form
Cambie Boulevard Heritage Society

Please print out this page, be sure to include all the information requested, mail the form along with your cheque to the following address:

Cambie Boulevard Heritage Society
PO Box 61049, Langara Postal Outlet
571 West 57th Ave., Vancouver, BC V6P6S5

Name:

Address:

Phone:

Email:

Volunteer:_____Yes


1 year per person $15.00_____ 1 year per family $25.00_____

2 year per person $25.00_____ 2 year per family $40.00_____

Donation Amount _____(Tax receipts will be issued):

Donations over $50.00 will receive booklet "Preserving our History from Generation to Generation"