Complete this form for a lifetime SIRC membership.

Your Name (required)

Address (required)



Your Email

Additional Information (Special needs; volunteer offers; suggestions)

Please tick to indicate your preferred method to receive information from SIRC

EmailTelephonePostal Delivery


Payment may be made in person or by mail.
Make cheques payable to Metchosin Seniors' Association

Mail to: SIRC, 4430 Happy Valley Road, Victoria BC V9C 3Z3 or
Drop off at the SIRC office in the old Metchosin School, 4495 Happy Valley Road. Please come by, we would love to see you.

Note: The $10 MSA (SIRC) membership is a one-time only payment.

Each year members will receive a letter confirming their status and asking that they let MSA (SIRC) know if they wish to discontinue their association or need to update their information. Otherwise it will be assumed there is no change to their membership status.