Membership in CCLOW is open to individuals, organizations and agencies.

MEMBERSHIP FEES

[  ] Individual ($25)
[  ] Student/Unemployed/Retired ($10)
[  ] Organization
[  ] with annual budget
up to $100,000 ($35)
[  ] with annual budget between
$100,000 and $500,000 ($60)
[  ] with annual budget over
$500,000 ($100)
[  ] Sustaining Member ($250)

ALL CCLOW MEMBERS AUTOMATICALLY RECEIVE THE QUARTERLY PUBLICATION, "WOMEN'S EDUCATION DES FEMMES"

SUBSCRIPTION ONLY

to "WOMEN'S EDUCATION DES FEMMES "
Individual $17.00
Organization $30.00

Enclosed payable to CCLOW
is my cheque for:

Membership $_______
or Subscription $_______
Donation $_______
Total $_______

NAME _____________________________

ADDRESS___________________________

POSTAL CODE _______________________

TELEPHONE: HOME ___________________

BUS.________________________________

OCCUPATION ________________________

AREA OF INTEREST ___________________

FEDERAL RIDING _____________________

Please return this form and payment to the Canadian Congress for Learning Opportunities for Women, 47 Main Street, Toronto, Ontario M4E 2V6.



L'inscription au CCPEF est ouverte aux particuliers et aux organismes ou associations.

DROITS D' ADHÉSION

[  ] Inscription personnelle (25$)
[  ] Étudiante/Sans emploi/Retraitée (10$)
[  ]Organisation
[  ] Budget annuel inférieur
[  ] ou égal à 100 000$ (35$)
[  ] Budget annuel entre
[  ]100 000$ et 500 000$ (60$)
[  ] Budget annuel supérieur
à 500 000$ (100$)
[  ] Membre commanditaire (250$)

TOUS LES MEMBRES DU CCPEF REÇOIVENT AUTOMATIQUEMENT NOTRE REVUE TRIMESTRIELLE "WOMEN'S EDUCATION DES FEMMES"

ABONNEMENT SEULEMENT

À "WOMEN'S EDUCATION DES FEMMES "
Particulier 17.00$
Organisation 30.00$

Veuillez trouver ci-joint un chèque payable au CCPEF pour un montant de:

Adhésion $_______
ou abonnement $_______
Don $_______
Total $_______

NOM ________________________________

ADRESSE _____________________________
_____________________________________

CODE POSTAL _________________________

TÉLÉPHONE RES. _______________________

BUR. _________________________________

PROFESSION ___________________________

INTÉRETS _____________________________

CIRCONSCRIPTION FEDERALE ____________

Veuillez renvoyer le formulaire avec votre paiement au bureau national du Congrès canadien pour la promotion des études chez la femme, 47 Main Street, Toronto, Ontario M4E 2V6



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