Associate Membership Application Form
Application Procedures
Complete the following Application Form and mail it a check for annual dues to
the:
Bird Strike Association of Canada
9655 Ardmore Drive
North Saanich, British Columbia, Canada
V8L 5H5
For further information and inquiries,
Phone (250) 857-5133
or email info@canadianbirdstrike.ca
www.canadianbirdstrike.ca
Application Fee
A Non-Refundable Fee of $25.00 must accompany the application form to
process this application. Please send a check, or money order payable to the
Bird Strike Association of Canada.
Personal Data
Members and Applicants are responsible for informing the BSAC of any change
of Name, Address, or Other Status.
Name:
Mailing Address:
City:
Province:
Postal Code:
Telephone (Land): (
Telephone (Cell): (
Email Address:
)
)
Airport Wildlife Management Role:
Please indicate the major reason you are joining the association:
Employed in airport wildlife management field
Wildlife professional with interest in field
Other
If you are employed in airport wildlife management field or are a wildlife
professional with interest in field, please complete the following regarding your
place of employment.
Employer’s Name: _
Mailing Address: _
City: _
Code:_
_
_
Province: _
Telephone: (Land):
(
)_
_
Telephone (Cell):
(
)_
_
_ Postal
Position
How did you hear about the BSAC?
Word of Mouth
Birdstrike Meeting
Website
Other _
_
BSAC Website Listing
BSAC has its own website on which we list our members in order to provide each
other with the opportunity to contact other members of the association. The
membership list is password protected and only available to other members of
the association. This service is part of your membership and is of no additional
cost.
Would you be interested in providing your information on the BSAC Website?
Yes
No