Spina Bifida and Hydrocephalus Association of Saskatchewan North Register Family Name(s) Individual with S. B. and/or Hydrocephalus SB Child's Date of Birth Date Email Address Address City Postal Code Home Phone Number Cell Phone Number Occupation & Employer: Siblings Names: Regular Membership (1st Year is Waived.)Regular Membership (1st Year is Waived.)First Year - Waived.1 Year - $25.003 Years - $65.00 Friends of the FamilyFriends of the Family1 year - $15.003 years - $40.00 Professional OrganizationProfessional Organization1 year - $25.003 years - $65.00 Associative GroupAssociative Group1 year - $25.00Other CorporateCorporate1 year - $50.00 Donation Amount Addition Comments Submit
