BC Balance And Dizziness Disorders Society logo

You may wish to print out a form to fill out. You may do so here .

Today's date:


Your name:


Your address:

City:

Postal code:


Phone number:


E-mail:


Your age (optional):


Would you consider volunteering?

Comments (if any):

How did you hear about us?


One year membership:


$20.00

Donations appreciated:

Total enclosed:


Tax receipts sent for amounts over $30 or upon request.

Send cheque along with this printed form to:

Treasurer of BADD
Box 325 - 5525 West Boulevard
Vancouver, BC V6M 3W6



Thank you!