Name(s):

Annual Membership fees:
Single $10.00
Family $15.00 (2 persons or more)

New member
or Renewal
(please select one)

Street address:

City: Postal code:

Home phone:
Work phone:

Home fax:
Work fax:

E-mail:

Pet's name(s):

Other Interests:

CYA Volunteer interests:
Membership
Fundraising
Publications

Other:

Date:

Signature:_______________________________________

Or copy and paste and send via email HERE

Donations are also welcome.

CYA
Suite 303
1985 Wallace st.
Vancouver, B.C.
V6R 4H4
Canada"