Membership FormMembership Form for Hope Community ServicesHCSS Membership runs from January 1 to December 31 each year. Please renew your membership annually. (If an email address is provided notification of upcoming renewals will be emailed to you.)Name(Required) First Last AddressPlease include P.O. Box if applicable Street Address Address Line 2 City & Province Postal Code Email Enter Email Confirm Email Phone (Home)Phone (Mobile)Yes, I would like a membership to support Hope Community Services Society:(Required)Please tick the appropriate box below to let us know if this is a NEW membership request or RENEWAL of an existing membership. NEW Membership RENEW MembershipMembership Fees are $5 per person annually.Please choose how you would like to pay for your membership:(Required) Pay via etransfer to giving@hopecommunityservices.com Pay by credit card. (Please complete the credit card section below.) Drop off cash or cheque payment at the HCSS officeCredit CardFeed Required: To use the Stripe field, please create a Stripe feed for this form.