Membership Application/Renewal

Applicants for new memberships should fill out the form completely. For membership renewals, you MUST provide your name and e-mail address (fields marked with *) plus any information that may have changed since the last renewal. Once the form is filled out click on the Buy Now button to pay with credit card. When you arrive at the PayPal page click on the Check Out Pay without a PayPal account in the lower right hand corner. Thank you for your generous support of the GBCLA.

Check this box if this is your first time applying for GBCLA membership?

* First Name:
* Last Name:
Are you a Business Member? (We have 2 membership rates - Business Member & Regular Member):
* Email:
Alternate Email:
Cottage Phone Number:
City Phone #: xxx – xxx-xxxx
Cell Phone #: xxx – xxx-xxxx
Mailing Address Line 1:
City, Province/State:
Country, Postal/Zip:
Cottage Street Number and Name:
Cottage Address City:
Cottage Address Postal Code:

To pay your membership dues or make a donation by cheque please click here to Download a Printer Friendly Form

We are now accepting membership payments using the Interac e-transfer service. Mail your payment to: We do require that you provide the following basic information in the Message section of the E-transfer. This is critical to ensure we direct your payment to the right member record: Are you a new member or an existing member renewing your membership? What is the email address listed under your existing membership OR give us the email you want us to use as a new member? What is your full name or the full name of the member you are paying for? What is your phone number in case we have questions on this payment?

After you have added your dues to your cart if you would like to add a donation we would greatly appreciate it. To add a donation to your cart close the PayPal page by clicking on the x in the browser tab just after the name PayPal Checkout, come back to this page, add a donation to the cart and then on the PayPal page click on the checkout button. To pay by credit card, on the PayPal checkout page, click on 'Pay without a PayPal account' in the lower right part of the page.


Membership Dues


If you have any issues or questions about this form, or if your cottage street is not in the list or if your Area is set to unknown after you select your street then please email us at .