PEI PC Party Membership Form

The following form can be used to renew, or apply for a PEI PC Party membership.

NOTE: If you are unsure of your Party membership status, please call the PEI PC Office at 902-628-8679.

Contact Information
 
Membership Terms

New Member

Renewal

2 Years
Individual $10   
Senior (65+) $5.00
Youth (14-19) $5.00
Family $25.00
 5 Years
Individual $20   
Senior (65+) $10.00
Youth (14-19) $10.00

Date of Birth*
Month Day Year

Date of Renewal
Month Day Year


Family Membership Only 		   
  Date of Birth
Month Day Year
  Date of Birth
Month Day Year
  Date of Birth
Month Day Year
  Date of Birth
Month Day Year
  Date of Birth
Month Day Year
  Date of Birth
Month Day Year

 

Opportunities

I would like to become a volunteer:
District Level | Provincial Office | Committees

I would like to receive the PC Newsletter by: Email or Mail