PPC Membership Form

How to send PDF form

1. Download

2. Send PDF form with payment​​​

   • Send by mail
     - Complete and print form (please make sure to include signature)
     - Mail form and payment to: PO Box 20041 Cornwall Centre 
                                               Regina, SK S4P 4J7
     NOTE: Make cheque or money order payable to Regina-Wascana PPC EDA
      

   • Send by email
     - Complete and print form (please make sure to include signature)
     - Email picture or scanned form to 
     - Complete e-transfer payment to 
     NOTE: Please include e-transfer message "NUMBER OF YEARS membership for YOUR FULL NAME"
                eg. "5 year membership for John/Jane Doe"