subscription/federate-member-renewal

Organization Name *

Your Full Name *

Position (CEO/Board Member etc) *

Email Address *

Contact Telephone Number *

Name(s) of Representative(s) and/or Contact Person if different from above:

Email of Representative(s) and/or Contact Person if different from above:

Telephone Number of Representative(s) and/or Contact Person if different from above:

Membership *

National Federate members is $150 annually.

Local Federate member is $100 annually.

Payment *

E-Transfer

Mail-In Payment

E-Transfer Details *

Please send your payment for the selected membership plan to: ncwctreasurer19@gmail.com.

Include your FULL NAME in the Note section of your e-Transfer bank form to ensure we can accurately identify you .

E-Transfer Date *

Mail-In Payment Details *

Please send your cheque in the amount of selected membership payable to the National Council of Women of Canada to the address below:

NCWC

c/o Bonnie Siemens Treasurer

415-208 Burning Glass Road

Winnipeg, MB R3X 0H4

Include print your name in the Note section of your cheque to ensure we can accurately identify you.

Mail-In Payment Date *

NCWC FEDERATE NATIONAL AND LOCAL MEMBERSHIP 2025-2026 RENEWAL FORM