CCRA Membership Online Registration Form

CCRA Online Registration Form

INTERAC e-TRANSFER PAYMENT
Name*

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry (Optional)
E-mail*

Confirmation Email
Phone Number*

Area CodePhone Number
Year You Retired
Employee Group*

SupportFacultyAdministrationOther
* - Asterisk means required field

Freedom of Information and Privacy

Your contact information will be kept confidential and only used for the Centennial College Retirees' Association (CCRA).

Canada Anti-Spam Law (CASL)

The objective of Canada Anti-Spam Law (CASL) is to prevent unwanted emails from arriving in email boxes of Canadians, and because we send bulk emails to our members, Centennial College Retirees Association (CCRA) will comply with this law.

Express Consent

To send newsletters, bulletins, and other bulk email communications to our members, the Act requires senders to obtain an "express" consent from each member who has supplied a personal email address.

By checking "I give my "express" consent", you are giving your "express" consent to receive Centennial College Retirees Association (CCRA) newsletters, bulletins, and other announcements via electronic messages.
I give my "express consent"
ANNUAL MEMBERSHIP FEE (January to December): $10.00

Upon clicking "SUBMIT - Interac e-Transfer", your information will be sent to the Membership Co-ordinator notifying that you are paying via Interac e-Transfer. You will need to go to your online bank account and process your payment of $10.00 via Interac e-Transfer. Follow your online bank account instructions, email recipient is CCRA.Treasurer@gmail.com. (Mobile not required.) Put your "First and Last Name" in the “e-Transfer” message box. There is no need for a security question, your money will be automatically deposit into the CCRA bank account.
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CCRA Online Registration Form