Application - Renew - VE
Memberships and information received by 8 AM Friday morning will be part of the weekend update.
Call
QCWA #
(if you know what it is!)
Name
first
mi
last
suffix
Jr
Sr
II
III
IV
V
VI
Address 1
Address 2
City
Province
or
Territory
Postal Code
-
Country
E-mail
Telephone
(
)
-
Date of Birth
/
/
mm/dd/yyyy
I wish to be affiliated with QCWA Chapter
view Active Chapters
Email ID
of the person submitting the application if other than the Applicant:
Comment
Add your
nick name
or additional
chapters
you belong to.
Application - Renew - VE
select a
Term of Membership
Renew Regular 1 Year - $25.00 USD
Renew Regular 2 Year - $40.00 USD
Renew Regular 3 Year - $55.00 USD
Renew Regular Life - $500.00 USD
Renew Regular Life, 1st Payment - $130.00 USD
Renew Family 1 Year - $ 8.00 USD
Renew Family 2 Year - $15.00 USD
Renew Family 3 Year - $20.00 USD
Renew Family Life - $160.00 USD
* A $5.00 administration fee is added to
each 4 pay Life Membership payment.
Click
'Add to Cart'
to pay for your membership.