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Aspire Richmond
Aspire Richmond
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Aspire Membership Form - New Item
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There are items in this form that require your attention
Thank you for your interest in becoming a member of Aspire Richmond.
Please fill out the below form and a member of our Administrative team will reach out to you for payment.
Title
*
First Name
*
Last Name
*
Affiliation with RSCL
*
I have a family member being supported by Aspire
I am a board member
I am a self-advocate
Other
Address
*
City
*
Province
*
Postal Code
*
Phone
*
Email
*
I want to receive the Aspire Views newsletter
Yes
No
The Aspire Views newsletter is emailed 6 times per year
Membership
*
New Membership
Membership Renewal
Unsure if I am already a member
Membership Types and Votes:
Individual Annual (1 vote) - $10/year
Individual Lifetime (1 vote) - $100 one time fee
Family Annual (2 votes) - $15/year
Family Lifetime (2 votes) - $150 one time fee
Membership Type
*
Annual
Lifetime
Number of Votes
*
Individual (1 vote)
Family (2 votes)
Donation Options
I would like more information on donating to Aspire
I would like to make a one-time donation
I would like to become a monthly donor
I am not interested in donating at this time
Thank you.
Please click Save to submit your form.
A member of our Administrative team will reach out to you.
Application Status
Submitted by member applicant
Processed and added to membership list
Processed and deemed NOT to become a member
Date Processed
Application Processed by
None
Alex Liu
Amy Roberto
Anita Racz
Ann-Marie Prendergast
Audrey Chan
Chloe Hau
Emily Lin
Eva Cao
Henna Dattani
Jacky Buss
Kam Basi
Kami Davis
Katherine Fraser
Maira Hosain
Meaghan Watson
ShareVision Admin
Sue Jones
Sue Street
Test Staff
Payment
Collected payment over the phone
Collected payment in person
Payment received by mail
Payment not yet collected
Admin Notes
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There are items in this form that require your attention
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