Name*:

Email*:

Member Status:  New    Renewal

Address:

Postal Code:

Mailing Address (if different from above):

Postal Code:

Home Phone:     Cellular/Work:

Fax:

Preferred means of communication for community updates, renewal notices, special events: -- Select One -- Email Mail Phone

Membership Type*:
 Individual $10
 Family $25
 Family 3-Year $60
 Senior $10
 Associate $25

Method of Payment*:
 Online    Cheque

Age(s) - Check Applicable:
 0-6    7-12    13-17    25-34    35-44    35-54  
 45-54    55-64    65-74    74+

Are you involved with any community association programs/groups?  Yes    No
If yes, which one(s): 

Rate value of southcalgarycommunity.ca (this webiste):  -- Select One -- 10 Highest 9 8 7 6 5 4 3 2 1 Lowest
Additional comments about the website:

Comments:

What challenge or area do you feel is most important for the SCCA to focus on in the next year?
traffic calming in residential areas
traffic/parking in commercial areas
development
keeping the outdoor pool
programs for children/adults/seniors
other

Please note, this information will be kept strictly confidential and be used only by the SCCA to better identify their membership and keep that membership informed of community-related events and issues in a timely manner.

*Required Fields

Please also type the characters you see in the picture below:
If the characters you see below are not legible, please use the refresh button to retrieve a new set of characters.