This form is for joining only the BIASSMD. If you wish to join both the BIASSMD and OBIA please click the button below to go back to the membership page.
All information you provide will not be shared with any other agency or business without your written agreement.
I agree to the fee noted above and realize that this fee is not a charitable donation and is not claimable inaccordance with the Income Tax Act of Canada.
I hereby request membership in the BIASSMD.
Participation in Association Activities:
Please provide an answer to each of the following quesitions. Would you consider:
PLEASE DO NOT SUBMIT - PRINT AND MAIL. Thank you and welcome to the Brain Injury Association of Sault Ste. Marie and District. Someone will be in touch shortly.
Please mail this application and a cheque for the specified amount to:
Attention: Chantal Scopacasa
P.O. Box 22045,
Sault Ste. Marie ON,