Become a Member or Renew Your Existing Membership

Name*
First Last
Email*
Home Phone*
Cell Phone
Work Phone (optional)
Address*
Street Address Address Line 2 City Province Postal Code
Membership Type*
Involvement*
- Active. I would be willing to volunteer occasionally.
- Supportive. I am unable to volunteer at this time. Please keep me informed.
Would you like to make a donation to REAL as well?
- Yes
Charitable receipts will be issued for donations of $10.00 or more.
Donation Amount
Total
$ 0.00 CAD
Date
Date Format: YYYY slash MM slash DD
Payment Option*
- I would like to continue and pay through PayPal
- I will make an INTERAC e-transfer payment to [email protected]
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Smiths Falls, Ontario