Please enter the following information, then click the Submit Member Application Form button.

The Membership Fee is only $10 per year.

When you have completed the on-line Membership Application:

  • Return to Membership to make your payment by PayPal or etransfer 

OR

  • Send a cheque to:

Pacific Open Heart Association
PO Box 45001
Ocean Park PO
Surrey, BC
V4A 9L1