Application Form

BURNABY HOSPICE SOCIETY THRIFT STORE

Emergency Contact:

Medical Information:

Membership Information:

Availability:

Please indicate when you are available.

Volunteering Roles:

Having trouble with the online form?

If the form above is giving you trouble or you’d rather fill out the form as a PDF, you can download it below.

Please not that this is an alternative method, not an additional step;  if you have successfully submitted the form above, do not fill in the PDF.

Please complete the application and forward to:

Burnaby Hospice Society Thrift Store | thriftstore@burnabyhospice.org

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