MASC Membership/Renewal 2020-2021

New Registration or Renewal*

New Registration
Renewal

Name of Organization*

Organization Address*

Street Address Address Line 2 City Province Postal Code

Organization Phone

Organization Email

Organization Website

Organization Mission Statement

Number of Members as of April 1, 2020

Does your organization have an elected community board?*

Yes
No

Does your organization have hired staff?*

Yes
No

#1 Contact Information - Board Member/Staff

Name*

First Last

Position*

Phone*

Email*

#2 Contact Information - Board Member/Staff

Name

First Last

Position

Phone

Email

#3 Optional Contact Information

Name

First Last

Position

Phone

Email

Current Activities

Current activities conducted by your organization. Check all that apply.

Activities

Health and Wellness Programs
Education Programs
Social Events
Food Programs (congregate meals, special lunches, etc.)
Transportation Services
Support Groups
Other

Other

MASC Membership

MASC's membership year runs from April1 - March 31. The $100 membership fee is due by March 31 of the membership year. (It is possible to prorate this fee for the first year only.) Cheque is to be made payable to MASC and forwarded to:

MASC Membership
Attn: C Newman, Executive Director
3 - 203 Duffield Street
Winnipeg, MB R3J 0H6

Would You Like a Membership Certificate Mailed to You?*

Yes
No

Navigate / search

Manitoba Association of Senior Centres

MASC Membership/Renewal 2020-2021

#1 Contact Information - Board Member/Staff

#2 Contact Information - Board Member/Staff

#3 Optional Contact Information

Current Activities

MASC Membership