Online Membership Form – PROBUS in Ottawa's Rideau Valley

To register as a member of our PROBUS club please fill in the form, click on the Send button. A confirmation email will be sent to the addresses you specify.

Note that the banking identifier, membership@probusorv.org, has been retired. When making payments through your bank please make the payment to membership@probusorv.ca. Since your bank may have stored the old address information, make sure you update it to the new address. Thank you.

If you wish to order badges only, please click here You may also download a paper copy of the membership form by clicking here. Thank you.

Member Status*

Returning Member

New Member

As a returning member, please fill in your name and email addresses, and any changes only. A confirmation email with payment instructions will be sent to the email addresses you have specified. Thank you.

Number of People in Same Household Applying ($40.00 per member)*

1

2

Do You Require Badges

Yes

No

Applicant Name*

Email Address*

Phone

Applicant Name*

Email Address*

Phone

Street Address

City

Postal Code

Number of Badges Required ($10.00 per badge)

1

2

Name on Badge*

Badge Holder Colour*

Name on Badge*

Badge Holder Colour*

Annual Membership Fees are due on September 1st for the coming year and may be paid by e-transfer (preferred) or by cheque. Further instructions will be sent by email once the form has been submitted.

Please Let Us Know How You’d Like to Pay*

E-Transfer

Cheque at Meeting

Privacy and Use of Personal Information: Your membership in the Probus Club of Ottawa indicates your agreement that the personal information you provide, as well as photographs taken at Club events, may be used for internal PROBUS ORV Club purposes. These include communicating with you and maintaining an archival record of members. Members’ information will NOT be made available to individuals or organizations outside of the Club. The Club’s Personal Information Protection Policy is available for review at: https://probusorv.ca/personal-information-protection/

Welcome to Probus in Ottawa’s Rideau Valley. Please fill in the following form to register. A confirmation email will be sent to you, including fee payment details. Thank you.

Number of People in Same Household Applying ($40.00 per member)*

1

2

Do You Require Badges?

Yes

No

Applicant Name*

Email Address*

Phone

Applicant Name*

Email Address*

Phone*

Street Address*

City*

Postal Code*

Number of Badges Required ($10.00 per badge)*

1

2

Name on Badge*

Badge Holder Colour*

Name on Badge*

Badge Holder Colour*

Annual Membership Fees are due on September 1st for the coming year and may be paid by e-transfer (preferred) or by cheque. Further instructions will be sent by email once the form has been submitted.

Please Let Us Know How You’d Like to Pay*

E-Transfer

Cheque

Privacy and Use of Personal Information: Your membership in the Probus Club of Ottawa indicates your agreement that the personal information you provide, as well as photographs taken at Club events, may be used for internal PROBUS ORV Club purposes. These include communicating with you and maintaining an archival record of members. Members’ information will NOT be made available to individuals or organizations outside of the Club. The Club’s Personal Information Protection Policy is available for review at: https://probusorv.ca/personal-information-protection/