Please read the following instructions to create your membership

  1. Fill the form.
  2. Click on "Fill & Download Form" at bottom of page to download the filled form.
  3. Email a copy to info@albcan.ca
  4. Keep a second copy on your computer for your records.
Albanian Canadian Community Association of Toronto
85A Ingram Drive Toronto, ON M6M 2L7
Tel: 647-955-7461
Email: info@albcan.ca
Website: www.albcan.ca
Membership Form / Aplikim për Anëtarësi

Name/Emër: Last Name/Mbiemër:

Address/Adresa:
Apt#:

City/Qyteti:
Province/Provinca:
Postal Code/Kodi Postar:

Home Phone/Tel Shtëpi: Cell Phone/Cel:

Email:


Family Members/Emrat e anëtarëve të famijes:

1. Relationship/Lidhja me aplikuesin:

2. Relationship/Lidhja me aplikuesin:

3. Relationship/Lidhja me aplikuesin:

4. Relationship/Lidhja me aplikuesin:

5. Relationship/Lidhja me aplikuesin:

Membership Type:

Family - $100 Individual - $50 Pensionist - $50 Student - $30

I would like to be a recurring member:
Payment Method:
Credit Card Number: Expiry Date:

Cardholder Name: CVV Number:

Signature: