Membership

  • This is a secure online form to purchase membership and receive a tax receipt. 
  • Fields without an asterisk (*) are optional. 
  • To become an ongoing Pain BC Member and set up automatic renewal each year, select Annual under Donation Frequency.
Donation Amount*
  • Regular member - $15
  • Supporting member - $95
  • Sponsoring member - $265

Contact Information

Country*
State / Province*
Address*
City*
*
*
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Email*
Confirm Email*
Phone*
Care to tell us a bit more about yourself? Are you a...
  • Person with pain
  • Caregiver to person in pain
  • Wellness-related organization
  • Volunteer
  • Health care provider
  • Researcher
  • Policy maker
  • Member of the general public
Sign up for Pain BC Newsletter
  • I want to subscribe to the Pain BC newsletter for pain-related news, resources, events and learning opportunities. You’ll typically receive monthly issues and will be able to unsubscribe at any time.

Payment Information

Amount*
$
Name on Card*
Card Number*

Security Code