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Rules of Society
Constitution & By-laws

Victoria Lesbian Seniors Care Society
(to print this page use button at the bottom of the membership form) or pdf format

Victoria Senior Lesbians Care Society (VLSCS)
Box 39022, James Bay Postal Outlet Victoria, BC V8V 4X8
info@vlscs.ca | http://vlscs.ca

Our Mission Statement To support lesbian health and social needs as we age by providing safe, accessible, welcoming spaces to build community through public education and social action.
ANNUAL MEMBERSHIP FEE
$15 - $30 Based on Means
 

RENEWAL

NEW MEMBERSHIP

GIFT MEMBERSHIP

BENEFITS OF MEMBERSHIP *Early Gala Tickets * Health Fund * AGM Vote * Discounts * Members Only Website * Newsletter * Belong to an Amazing Group of Women Doing Amazing Things *
New Members: As a member of VLSCS you will have access to Members Only Pages at http://vlscs.ca. You will receive a letter with more information about accessing the website.
 
NAME___________________________________ PHONE_________________________

ADDRESS_________________________________ CITY _________________________ PROV _____

POSTAL CODE___________________ E-MAIL Address__________________________
 
AGE : (Optional)   Under 25   26-54   55-80   Over 80

Would you like to make a donation to the VLSCS Health Fund? $ ____________

Would you like to make a donation to the operating fund? $ ____________

Amount Paid $__________ by: CASH____CHEQUE____ per:____________(VLSCS)
 
By signing below, I acknowledge that I have read and agree with the VICTORIA LESBIAN SENIORS CARE SOCIETY mission statement:

SIGNATURE _____________________________ Date_________________
 

Mail completed application with cheque/money order to: VLSCS, BOX 39022, James Bay Postal Outlet, Victoria, BC V8V 4X8
 

OFFICE USE: Card Sent Date: ____________________

YOU ARE VITALLY IMPORTANT TO OUR SUCCESS !!! PLEASE consider helping.



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