The Adoptive Families Association of BC

Become a Member of AFABC

Your Name

Partner's Name (if applicable)

First Name		Last Name

First Name		Last Name

Address

Home Phone - please include area code

City

Daytime Phone - please include area code

Postal Code

Fax

Organization

Email Address

YES! You may use my personal information to keep me informed about AFABC fundraising activities.

New Member Renewal

Adoptive Family Membership	1 Year $40	2 Years $70	5 Year $160
Adopted through; MCFD Intercountry Domestic/Local(non-MCFD) Waiting to adopt

Professional Membership	1 Year $50	2 Years $95	5 Year $225

Programs and Services

To help us plan future programs and services, please indicate your areas of interest:

Educational events Family support Social events
Advocacy Action Alerts BC’s Waiting Children

Specialized Adoptive Parenting

Cross-Cultural Special Needs Single parent
Gay/Lesbian Blended families

Age-related Events

Infant/Toddler School-aged Teen & older

I don’t wish to receive any information via email

Payment

	Credit Card (Visa, Mastercard, AmEx) We now use PayPal to process our online payments. No PayPal account is required.

	I will send a Cheque
	I will send a Money Order

	Payments by cheque or money order may be mailed (please include your full name and address as entered above) to us at: Adoptive Families Association of British Columbia #200 - 7342 Winston Street Burnaby, BC V5A 2H1

Would you like to make a donation to AFABC? Click here to find out how! Or visit canadahelps.org now to make your donation online.