Membership Membership Building a Connected Community Newsletter Fill Online Membership Form First Name * Last Name * Name of Spouse Names of Children (Below 21 Years) and their Age Residence Status Canadian CitizenLanded ImigrantOthers Street Address 1 * Street Address 2 City * Province * Postal Code * Country * Email * Home Phone Mobile Phone * Membership Type Life-Family ($200.00)Life-Senior ($50.00)Annual-Family ($25.00)Annual-Single ($20.00)Annual-Student ($10.00)Annual-Senior ($10.00) To Complete your membership registration, please make your payment to PCCA General Secretary, Ansar Qureshi by contacting him at gensecretary@pcacalgary.ca or calling him at (001) 604-453499 We will make the personal information available to add in Directory for Pakistani Community. If you prefer NOT to add your information in Pakistani Directory, Please check the box