Become a member « Saskatchewan African Canadian Heritage Museum

First Name *

Last Name *

Telephone (Res) *

Telephone (Bus)

Email *

Country of Birth *

Street Address *

City *

Province *

Country *

Postal Code *

Spouse/Partner First Name

Spouse/Partner Last Name

Spouse/Partner Telephone (Res)

Spouse/Partner Telephone (Bus)

Spouse/Partner Email

Spouse/Partner Country of Birth

Name of Child(ren)

Age

Number of seniors in your home

$15 Individual

$25 Family

$10 Student

$30 Individual Profile (Includes Registration)

$50 Family Profile (Includes Registration)

$5 Associate (Out of Province)

$50 Local

$100 Provincial

What activities would you like to participate in as a member of SACHM

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Become a member