New Member Registration Form New Member Registration Form Member Information Member Date of Birth: Name of W.I. Branch member is joining: —Please choose an option—Arcadia BranchBridgeville BranchCambridge BranchCaribou BranchChurchville BranchDelhaven & District BranchFoxbrook BranchGarden of Eden BranchHardwood Lands Junettes BranchHomeville BranchIslands BranchKempt BranchLakeville BranchLyon’s Brook and Area BranchMacPherson’s Mills BranchNew Tusket BranchNine Mile River Homemakers BranchNorth Brookfield BranchNorth River BranchPoint Edward BranchPort Williams BranchScott's BaySouth Berwick BranchSpa Springs BranchSpanish Bay BranchSpringville – Island BranchWest Pugwash BranchWeston Has been a member of another W.I. Branch? YesNo How would member like to receive Home and Country Newsletter quarterly? EmailPrintDo Not Send Would member like to receive email from FWIC? YesNo Member Date of Registration (typically today's date): If you require assistance, please reach out to the W.I.N.S. office at email@example.com. Please leave this field empty.