Membership Form

Basic Membership

Please choose your basic membership type

Annual Membership *

Membership Type

note: membership for UBC Faculty and staff is complimentary.  Please contact MOA directly at 604-822-4643

Contributor's Circle

To join the Contributor’s Circle, please select your level of involvement and whether you would like to pay once a year or monthly

Payment Options *

To join the Leadership Circle please contact MOA at 604.822.4643

Membership Information







Address Type *




Family Information (for non-individual memberships)

Please complete the section below if you are purchasing a couple, student couple, senior couple or family membership.
Required fields are indicated with an asterisk *.


Payment Details

Membership Summary




What is CVD?

You will receive a tax-receipt for the tax part of your donation. Monthly donors will receive a tax-receipt for their first donation, and then once a year. (Monthly donations will continue until you let us know otherwise.)

Need help?

To purchase a gift membership, or if you have any questions, contact 604.822.4643 or members@moa.ubc.ca
IMPORTANT: Before clicking submit, please ensure you have completed all sections above, including “Contributor’s Circle”.
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