This form is for purchasing a Gift Membership to our club.

Thank you for offering a Trillium Photo Club Membership! Upon receipt of your request for a Gift Certificate, an E-Mail is sent back to you confirming your request. It also details your payment options. On receipt of payment, the Certificate is mailed to you or you may choose to have it delivered by E-mail.

IMPORTANT: If you have not received confirmation after 15 minutes, please check your Junk Mail.




    Your Information:

    First Name:
    Last Name:

    Street Address:
    City:
    Province:
    Postal Code:

    Contact Phone Number:

    Your Email:



    Who is the gift membership for:

    First Name:
    Last Name:

    Membership Type (select one):

    Contact Phone Number:

    Email:

    Complete this question to confirm you are not a robot: