Become a Member of LAMP CHC

Thank you for supporting LAMP.

When you submit this form you will be brought to PayPal to complete payment using a credit card or PayPal account.

Please consider choosing a 3 year membership to help us save time and money on administration.

We will let you know when your membership has been processed.

You can also become a member or renew in person using cash, cheque or VISA at LAMP CHC.

Contact Information

Your full name

Your residence number and street name

Important: use the same e-mail when making your donation.

Your Membership
About our Community and Members

Help us learn more about our community and our members

Please use this space for any comments or concerns that you would like to share with us.

Payment

Selecting a 3 year membership helps us save time and money on administration.

Donation

If you'd like to make a donation, you can let us know how you'd like your donation to be used. Keep in mind that the first $9.00 of the amount that you specify will be allocated to membership dues, and the amount beyond that will be your donation. Tax receipts will be issued where the donation amount is more than $10.

Type the name of a LAMP program or service that you would like your donation to be directed to.

May we recognize your donation publicly?