South Channel Association

Membership Request Form

If you are either interested in becoming a new member, please complete the form below and one of our membership directors will be in touch soon.

Please provide the following information to begin the registration process:

- Required Field

First Name:

Last Name:

Email:

Cottage Address:

Home Address:

Home City:

Home Province / State:

Home Postal Code / Zip:

Home Country:

Home Phone:

Cell Phone:

Cottage Phone:

Include personal information in the member directory
(property map number, name, local phone #)

Additional Family Members:

Length of Fire Hose:

Civic Address:

Are you willing to participate in the South Channels WhatsApp Emergency Group ?

Fire Pump Hose Size 1 1/2

Fire Pump Hose Size 2

Fire Pump Connection - Camlock

Fire Pump Connection - 1/4 Turn Swivel Lock

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