You have selected to pay your EVA BC core membership dues online by credit card

Please complete your agency's information below and pay online with credit card

Please note: EVA BC does not issue invoices. If you need an invoice, please save or print this page before submitting.

Agency Name *
Your Name *
Your Phone *
Your Email Address *
Agency Mailing Address *
City *
Province *
Postal Code *

Please enter the number of staff in core member programs. If you do not have one of the following MPSSG-funded core member programs please enter 0.

Community-Based Victim Services (CBVS) *
Stopping The Violence Counselling (STVC) *
Stopping the Violence Outreach Services (STV ORS) *
Multicultural Outreach Services (MORS) *
Sexual Assault Services (SAS) *
Total Number of Core Member Program Staff:

EVA BC core membership fee structure:

Please select the matching membership tier below to see your dues total:

Membership Tiers: *
Total Amount

You will receive email confirmation for your payment, but you may want to save or print this page for your records.

Closing Date

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