Membership Application Form

~New and Renewing Members ~

Please complete this form annually (for the purpose of updating our Membership database)
Dues ~ New or Renewing Member Dues - $20 per Year (Veterans and/or Widows do NOT pay Dues)

~ Member Information - Please Print Clearly ~

Type of Membership (Circle One): New  Renewing  Veteran  Widow

 Name _________________________________ Address _____________________________________
City________________ Province ______________ Postal Code ___________
Telephone (Include Area Code) (___)_____________ Email Address _______________
Use my Email address to notify me of HKVCA events and newsletters. (circle one) Yes | No (By choosing yes, I understand I will not receive a paper copy of the newsletter by mail.)

~ Relationship to Veteran~

Veteran’s Name ____________________ Regiment ___________ Regimental Number ___________
Date of birth (if known) ____________________ Date of death (if known) ___________________

Relationship (Circle One) Veteran Wife/Widow Son/Daughter Brother/Sister Grandson/Granddaughter Friend
Other (Specify)____________

~Parent Region~

Choose which Region you wish to administer your membership (you will automatically receive Regional news (when published) in addition to the National newsletter)
Circle One Choice: Atlantic | Quebec | Ontario | Prairie | BC

Make Cheque for Membership Dues ($20.00) or Donations Payable to: Hong Kong Veterans Commemorative Association (use the full name)

Mail to: (choose appropriate address for your Parent Region from https://www.hkvca.ca/contacts.php)