SCAGO Portal

Become a Member

Join the Sickle Cell Awareness Group of Ontario (SCAGO) and complete your membership application with secure PayPal payment.

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Your progress is saved locally and will resume automatically on return.

Membership Application

First name*

Last name*

Email*

Phone Number*

Date of application*

Street*

City*

Province*

Postal Code*

Please tell us your reason for becoming a member of the SCAGO (Attach more pages if needed):*

Are you interested in volunteer opportunities?*

Yes

How did you hear about us?*

Membership Fees

Membership Fees $30/year for Individual Membership, $50/year for Family, and $100/year for Organizations. Please select the appropriate number of years for the membership type. Individual - 1 year Membership - $30.00 CAD Individual - 3 year Membership - $90.00 CAD Individual - 5 year Membership - $150.00 CAD Individual - 10 year Membership - $300.00 CAD Family - 1 year Membership - $50.00 CAD Family - 3 year Membership - $150.00 CAD Family - 5 year Membership - $250.00 CAD Family - 10 year Membership - $500.00 CAD

Select your membership option and complete payment with PayPal.*

Individual Membership

Family Membership

Select a membership plan above to proceed with payment