Membership payment with Paypal or Credit Card

Use this form only if you are paying via Paypal or Credit Card.

To pay $10 with Paypal or Credit Card, complete and submit the form.
You will then be redirected to Paypal. (Paypal has the option to use your Credit card for payment.)

Is this a new member application or a renewal? (required)
New MemberRenewal

NOTE: Do not select New Member if your were previously a member, or have forgotten your member number.
Please select "Renewal" and the registrar will find your number in the database.

First Name (required):

Last Name (required):

Email (required):

Your CRYA # (if known):

Has your contact info changed since last year? (required)
YesNo

Address:

City:

Province:

Postal Code:

Phone:

Club Name:

Club City:

Club Province:

Select payment method (required)
PayPal

To pay $10 with Paypal or Credit Card, click on "I am not a robot" and then "Submit Form" below.
You will be redirected to Paypal to make your payment.
Paypal also has the option to use your Credit card for payment.

I am not a robot (required)