Join CWMA

Please complete this form and mail or fax it to:
Coast Waste Management Association
1185 Rolmar Crescent
Cobble Hill, BC  V0R 1L4

Tel (250) 733 2213
Toll free 1-866-386-2962
Fax (250) 733 2214

Organization: ________________________________________________

Address: ____________________________________________________

City: __________________________     Province: ___________________

Country: ____________________   Postal/Zip Code: _________________

Contact Person: ______________________________________________

Telephone: __________________________

Fax: ________________________________

E-mail: _______________________________________

Main Activities: _____________________________________________

_________________________________________________________________

Number of full-time equivalent employees or volunteers: ________

Membership Fee: $____________

Credit Card Logos

Credit card type: (Visa/MC/AMEX) ___________

Name as it appears on card: ________________________________

Card Number: _______________________________________

Expiry Date: _______________________________________

____ Please send me a copy of CWMA constitution and bylaws.

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