|
MEMBERSHIPS AND
DONATIONS
| Regular |
$ 10.00 |
| Student (Full or part-time) |
5.00 |
| Organization/Agency |
25.00 |
| Associate (mailing list only) |
5.00 |
| Sustaining (minimum annual rate) |
100.00 |
Voting privileges and the Skills Bank are
extended to
Regular, Student and
Sustaining memberships.
All donation are tax deductible.
Enclosed payable to CCLOW is my
cheque for membership in
the amount
| of |
$ ___________ |
| Included is a donation of |
$ ___________ |
| Total enclosed |
$ ___________ |
Name
_____________________________
Address
____________________________
__________________________________
Postal Code _________________________
Telephone: Home ( ) __________________
Bus. ( )
____________________________
Areas of
Interest:
______________________
__________________________________
Date: ______________________________
Please return
this form and payment to CCLOW. |