MEMBERSHIP
(G.S.T. included)

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

MEMBERSHIP FEES

Low-income/student/un/underemployed/retired $10.70
Individual $30.70*
Sustaining Member $250.70**
Organization with an annual budget up to $100,000 $48.25
Organization with an annual budget $100,000 to $500,000 $80.25
Organization with an annualbudget over $500,000 $133.75


Associate Member (receives Women's Education des femmes only)

Individual $18.19
Organization $32.10


* A $20.00 income tax receipt will be issued.
**A $240.00 income tax receipt will be issued.
Additional donations will be receipted for income tax purposes.



Enclosed, payable to CCLOW, is my cheque for:

Membership $_______
Additional Donation $_______
TOTAL $_______

Please return form and payment to CCLOW,
47 Main Street, Toronto, Ontario, M4E 2V6.



Name_________________________________________ Address_______________________________________ _____________________________________________ Postal Code____________________________________ Telephone: (Home)_______________________________ (Business) _____________________________________ Occupation_____________________________________ Area of Interest _________________________________



[ ] I do not give CCLOW permission to trade, or
sell my name and address to other like-minded
social action groups for the purpose of fundraising
or as a means of networking.



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