Membership Application – New or Renewal

You have two choices:
Print the Membership Form OR Use the Online Form to the right

Download the membership application, print, fill out and mail it to us

Membership Form is in PDF format.

Download Adobe Reader and install if you do not have it installed.


Charity registration #891832172RR0001


VIKPA Membership Form

  • Additional family member at $10 each

  • Your Donation

  • Other Info



Membership Fees

The Vancouver Island Kidney Patients’ Association (VIKPA) is a registered non-profit society and registered Canadian Charity. The main purpose is to provide for the comfort measures and promote the general welfare of the renal patient community on Vancouver Island. VIKPA is engaged in many areas that affect renal patient quality of life.

Membership fees are $10 per year, from January 1st to December 31st each year. Memberships renewed after November 1st are good until the end of the following year. We also invite you to make a financial contribution, if you are able, or to ask how you can volunteer your time or services.

The membership application form and the financial contribution form are part of our brochure. You can pick one up at any of the renal units or contact us to have one mailed to you.

Members in Good Standing

A member shall be considered to be in good standing except for a member who has failed to pay the annual membership dues. VIKPA memberships are for the calendar year. On March 31, un-renewed members are no longer in good standing, and on June 1 they become delinquent and may be removed from the membership list.

Members not in good standing no longer receive the benefits of membership.
They may not vote at meetings.
They may not hold office.
They and their family members are not eligible to apply for The Gordon Duthie Bursary.

Membership costs are very low.
Please do not let your VIKPA membership lapse.

Volunteering with VIKPA

VIKPA has been serving patients for over 40 years and is run entirely by volunteers, most of whom are renal patients. The board and executive is elected in February (at the AGM meeting) of each year by our membership. We depend upon our volunteers to raise funds, to stand on hospital committees (representing renal patients’ interests), to determine the best use of our funds, for computer work, for public relations and in the production of our newsletter. Contact us to learn how you can be a VIKPA volunteer and donate your time or services.