Online Membership Renewal

Name*
First Last
Address*
Street Address Address Line 2 City Province Postal Code
Primary Phone*
Alternate Phone
Email*
Emergency Contact Name:
Emergency Contact Relationship to Member:
Emergency Contact Phone No.
Emergency Contact E-mail:
2024-2025 Membership Renewal*
Price:
2024-2025 Parking Pass
- Parking Pass
Please provide your license plate and the make & colour of your vehicle:*
Privacy Statement
The Good Companions respects your privacy. We protect your personal information and adhere to all legislative requirements with respect to privacy. We use your personal information to provide tax receipts and to mail out quarterly information packages to keep you informed about activities including special events, information updates, funding needs and opportunities to volunteer or give. If at any time you wish to be removed from any of these mailings, please call 613-236-0428, extension 2100.
Covid-19 Vaccine, please provide your first two vaccination dates:
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$ 0.00 CAD
Total
$ 0.00 CAD
Payment Method

MasterCard
Visa
Supported Credit Cards: MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
Product Name Quantity
Price: $ 0.00 CAD

Privacy Statement