MEMBERSHIP FORM
Please print out this page, fill in the form, and send it with your membership fee to the address above. All donations automatically make you a member - thank you for your donation!
Click here to open a printable version of our Membership Form.
DATE: ________________________________
FIRST NAME: ____________________________________________
LAST NAME: _____________________________________________
NAME OF ORGANIZATION (IF APPLICABLE): _____________________________
________________________________________________________________
ADDRESS: _______________________________________________________
CITY: _________________________ PROVINCE: ______________
POSTAL CODE: _______________
PHONE NUMBER: (____) ______________________
E-MAIL: _________________________________________
MEMBERSHIP FEE: $ 20
Cash: ____ Cheque ____ (Please make cheque payable to: Rundle’s Mission Society)
ADDITIONAL DONATION: $___________________
(a tax deductible receipt will be issued)
Are you interested in being a member of our Rundle's Mission Society Committee?
Yes/No (Please circle one.) If you circled yes, someone will contact you.
SIGNATURE:________________________________________________
Your membership will support the program, interpretation and development of Rundle’s Mission and ensure that you do not miss any of the society’s upcoming events and publications.
THANK YOU FOR YOUR SUPPORT!
