Membership Application

This is an application for membership in the Kunsoot Wellness Society (S-0070851).

The information you share will be stored and managed securely and utilized only for the purposes of maintaining our membership list and communicating about society business.

Applicants who meet the eligibility criteria will be contacted with a confirmation of acceptance by a representative of the Kunsoot Wellness Society Board of Directors.

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* 1. I wish to become a registered member of the Kunsoot Wellness Society.

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* 2. I have Heiltsuk ancestry. (NOTE: Non-status Heiltsuk and people with Heiltsuk ancestry who are members of other bands are still eligible.)

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* 3. I maintain a residence in Bella Bella.

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* 4. Full Name:

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* 5. Email address:

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* 6. Mailing address:

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* 7. Phone Number:

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