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Please download and fill out the forms below and fax back to 250-383-1603 and send original copies by mail to:

210-2750 Quadra Street
Victoria, BC V8T 4E8

Become a Member

Download our application below and fax back to us and mail in the original.

Printable UBC Application

Printable Membership Profile

Health & Welfare Benefits

Benefit Plan Information

Life Insurance Enrollment Form

MSP Group Application Form

Pacific Blue Cross Group Application Form

MSP Waiver

MSP Dependent Change Form

Pacific Blue Cross Dependent Change Form

Direct Debit Form (Optional)

Pre-Authorized Dues Withdrawal Form

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