Name *

First Name

Last Name

Phone *

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Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Please select the type of BCGS membership you are applying for *

$65.00 - Full member

$10.00 - Associate member (must be same address as full member)

$22.50 - Youth member (under the age of 25)

$60.00 - OGS/AGS/SGS/MGS member (please provide proof with membership number)

Are you a *

New member

Renewing member