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CPF allows one to two names per family, over the age of 18 years, as voting members. New Member Renewal : membership no. Change of Address Member 1 : Surname, Name Member 2 : Surname, Name Street Address City Province Postal Code Telephone E-mail School Board Local CPF Chapter/Section Membership : One year ($25.00) Three year ($60.00) $22.50 of a 1 year membership or $54.00 of a 3 year membership is for your provincial/territorial branch and $12.50 or $30.00 is for the national association. Donations : Your gift in support of CPF is also welcome. Donors are recognized in three categories : Supporter (gifts up to $100.00) Patron (gifts of $100.00 up to $250.00) Benefactor (gifts of $250.00 or more) All donors will receive a tax-deductible receipt. Total enclosed (GHT Exempt) : $ Payment Method Mastercard VISA Cheque enclosed Card Number Expires Date Signature __________________________________________________ Occasionally the CPF membership list will be made available to other groups/agencies to offer members benefits or education-related information. Use of the list will be carefully regulated and only permitted under a contract specifying confidentiality and one-time authorization. If you do not wish to receive mailings other than directly from CPF, please check this box . Payment Options Phone - VISA/Mastercard payments only : Phone (613) 235-1481, extension 21 between 8:30am and 4:30pm EST any business day with your Mastercard or VISA credit card number and expiry date. Fax - VISA/Mastercard payment only : Fax the completed version of this form to (613) 230-5940 Mail - VISA/Mastercard or Cheque or Money Order payments : Mail the completed version of this form to : Canadian Parents for French 176 Gloucester Street Suite 310 Ottawa, Ontario K2P 0A6
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