You have selected to pay your EVA BC core membership by Electronic Funds Transfer (EFT)

Please complete your agency's information below for your membership application:

Date *
Agency Name *
Your Name *
Your Phone *
Your Email *
Agency Mailing Address *
City *
Province *
Postal Code *
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:
0.00

EVA BC core membership fee structure - please choose your tier and select from dropdown below this table:

TierTotal number of staff in EVA BC core member programsAnnual membership dues
11-3$150
24-9$400
310 or more$900

And please select the matching membership tier to see your dues total:

Membership Tiers: *
Total Amount
$
0.00

I/we agree to adhere to EVA BC's constitution and bylaws

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