Learn more about being a member:  HAAC Terms of Membership Feb 2016A [PDF]

    We invite you to join us and become a member. Simply fill out this form and submit it. If you are already a member please provide your name and updated information only.
    Thank you!

    First Name *: MI: Last Name *:
    Are you a new member or renewing?
    NewRenewal (Name & any changes only)    		 Gender Identity:
    Address: City:
    Province / State: Postal Code: Country:
    Home Phone: Work Phone: Other Phone:
    Email Address*:
    How would involvement in HAAC benefit you and/or your organization?
    How would you and/or your organization contribute to HAAC?
    Annual Membership Fees:
    $20 Individual$10 Student$10 Youth (Age 18-25)$10 Senior (Age 60 and over)$30 Family (2 or more)Corresponding (Living outside NS - no fee)

    Please note that the Annual Membership Fee is due before or at the time of our Annual General Meeting (AGM). An invoice for the Annual Membership Fee will be emailed to you upon receipt of this form. We accept payment in the form of: Email Money Transfer which can be sent to treasurer@haac.ca, or Cash, or Cheque/Money Order (payable to the Health Association of African Canadians), or by major credit card (via Stripe payments).

    Thank you for your interest in HAAC. We look forward to working with you.
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