<%@LANGUAGE="JAVASCRIPT" CODEPAGE="1252"%> Membership Form
Membership Form

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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