Membership Form

*Required

    To be eligible to become a member, you must be: 

    - Palestinian Canadian; 

    - Palestinian permanently living in Canada; 

    - Born in Palestine, born to a Palestinian father or mother; or 

    - Spouse of a Palestinian Arab who resides in Ottawa.

    You must also be: 

    - 17 years and older; and 

    - Resides in Ottawa or within its vicinity.

    First name*

    Last name*

    Street Address*

    Province*

    Postal Code*

    Telephone*

    Email address*

    Volunteering

    Would you like to volunteer with APAC?
    YesNo

    If yes, how many hours would you like to volunteer a month?
    123456More

    Which areas would you like to volunteer for?
    Youth activitiesWomen clubSocial media and marketingBoard memberAdvocacyOther

    If "other", please specify

    Membership fees

    The fees is $20 for a one year APAC membership.

    We accept e-transfers sent to: apaccanada@gmail.com

    Date of payment*