With membership in the Green Party of Manitoba you can influence Green policy development, help choose your local Green candidate and keep up to date with GPM activities. Sign up for a one year or three-year membership and consider topping it up with an additional donation. Monthly donations are the most effective way to advocate for your Green vision in Manitoba. Please note: The Green Party of Manitoba and the Green Party of Canada are legally seprate entities and have separate membership lists. Purchasing a Membership in the GPM does not automatically enroll you as a member of the GPC or vice-versa. If you would also like to join the GPC, go to greenparty.ca/join Membership Membership * Sustaining Membership (Monthly Donor) - $10/Month 1-Year Membership - $10 3-Years Membership - $25 1-Year Membership (Young Greens Ages 12-30) - Free 3-Years Membership (Young Greens Ages 12-27) - Free 1-Year Membership (Indigenous) - Free 3-Years Membership (Indigenous) - Free Please renew my membership automatically. Membership will renew automatically. Additional Contribution * one time - $ 5.00 one time - $ 10.00 one time - $ 25.00 one time - $ 50.00 one time - $ 100.00 one time - $ 500.00 one time - $ 1,000.00 No thank you Other Amount Other Amount $ Total Amount Email Address * Personal Information First Name * Middle Name(s) Last Name * Date of Birth * Phone (primary) Street Address (Home) * City (Home) * Province (Home) * - select State/Province - Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Territory Postal Code (Home) * Constituency * - select Constituency - Agassiz Assiniboia Borderland Brandon East Brandon West Burrows Concordia Dauphin Dawson Trail Elmwood Flin Flon Fort Garry Fort Richmond Fort Rouge Fort Whyte Interlake-Gimli Keewatinook Kildonan-River East Kirkfield Park La Vérendrye Lac du Bonnet Lagimodière Lakeside McPhillips Midland Morden-Winkler Notre Dame Point Douglas Portage la Prairie Radisson Red River North Riding Mountain Riel River Heights Roblin Rossmere Seine River Selkirk Southdale Springfield-Ritchot Spruce Woods St. Boniface St. James St. Johns St. Vital Steinbach Swan River The Maples The Pas-Kameesak Thompson Transcona Turtle Mountain Tuxedo Tyndall Park Union Station Waverley Wolseley Unsure Self-Identification * - select Self-Identification - Non-Indigenous First Nations Métis Inuit Prefer not to say Disclosure is optional, however, members must self-identify as Indigenous to qualify for the Free Indigenous Membership category. Recruiter If you were recruited to join the GPM by another Member, please let us know who! Please include first and last name if known. Membership Certification I certify that: All of the information I have provided is correct and up-to-date. I am a resident of Manitoba. I am a Canadian citizen or permanent resident of Canada. I am making this contribution with my own personal funds and not with a business account or on behalf of another person. No individual or organization will either partially or fully reimburse me. I would like to join the Green Party of Manitoba (GPM). I promise to abide by the constitution, by-laws, Code of Conduct, policies and principles of the GPM. I declare that I am not a member of another provincial political party. Do you agree to the above certification? * - select Do you agree to the above certification? - No Yes Review your contribution
