FBBA – 2023 Membership (with Winter Patrol)

Price:

$123 for access until April 30, 2024

First Name:* First Name Required

Last Name:* Last Name Required

Address Line 1:* Address Line 1 is Required

Address Line 2: Address Line 2 is not valid

City:* City is Required

Country:* Country is Required

State/Province:* State/Province is Required

Zip/Postal Code:* Zip/Postal Code is Required

Email:* Email is Required

Home Telephone Number:* Home Telephone Number is Required

Cell phone Number: Cell phone Number is not valid

Cottage Address (Green ERN number and Street/Road:* Cottage Address (Green ERN number and Street/Road is Required

Cottage Lot Number:* Cottage Lot Number is Required

Cottage Telephone Number: Cottage Telephone Number is not valid

Winter Contact Name:* Winter Contact Name is Required

Winter Contact Phone Number:* Winter Contact Phone Number is Required

Winter Alternate Contact Phone Number: Winter Alternate Contact Phone Number is not valid

Winter Alternate Contact Phone Number #2 (optional): Winter Alternate Contact Phone Number #2 (optional) is not valid

Winter Contact Email:* Winter Contact Email is Required

Winter Address:* Winter Address is Required

Winter Snow Notification:* Winter Snow Notification is Required

Yes No

Winter Snow Notification Depth: Winter Snow Notification Depth is not valid

24 inches 36 inches

Winter Notification Method:* Winter Notification Method is Required

Email Phone

Volunteer Director Preference:* Volunteer Director Preference is Required

Yes No

Mailchimp Opt-in

Email:* Invalid Email

Password:* Invalid Password

Password Confirmation:* Password Confirmation Doesn't Match

Password Strength

No val Please fix the errors above