Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Legal Last Name: *First Name *Date of Birth:Year of BirthGenderMaleFemaleOtherAddressPostal CodeStateSelect StateAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavut, OntarioPrince Edward IslandQuebecSaskatchewanYukonChoice 16CitySelect CityVancouverVictoriaSurreyBurnabyKelownaRichmondAbbotsfordKamloopsLangleyNorth VancouverNanaimoChilliwackCoquitlamPort CoquitlamNew WestminsterPrince GeorgePentictonWest KelownaCranbrookFort St. JohnWhite RockQualicum BeachDeltaSidneyWilliams LakeDawson CreekCastlegarMerrittRevelstokeGoldenSalmon ArmMissionE-Mail register with Uber/Lyft: *Phone register with Uber/Lyft: *Full Time/Part Time Driver: *Full Time DriverPart Time DriverConsent *I agree *In applying for a membership, I understand that the association intends to apply to be certified as my exclusive agent and to represent me in Passenger Transportation, other Govt Bodies, join any union and/or create our Union. I agree to the collection of this information to collect and manage dues, for research purposes, to facilitate communication between the association and me, and for any other purpose relating to the administration of the Association. I pledge to review and abide by the association’s constitution and bylaws. A copy of the association constitution and bylaws are available upon request. Submit