Support the Centre - Printer Friendly Membership Form

Your donation can help ensure the ongoing success of the CSCR’s research and public outreach efforts. Please join in our efforts today! Simply hit the Print button in your browser to print out this page!

Your donation can help ensure the ongoing success of the CSCR’s research and public outreach efforts. Please join in our efforts today!

CSCR Membership Form
¨ Yes! I would like an individual membership in the CSCR. Enclosed is my cheque for $25.00.
¨ Yes! My organization would like an institutional membership in the CSCR. Enclosed is our cheque for $100.00.
¨ I would like to help the Centre even more. Please accept my donation in the amount of $______.

 

                                                                               
Name

                                                                               
Title*

                                                                               
Organization*

                                                                                 
Address

                                                                               
City

                                                                               
Province

                                                                               
Postal Code

                                                                               
Phone Number

                                                                               
E-mail Address*

 *if applicable

Business number: BN864811880
GST is included in all membership fees.

Please print out and  complete this form with a cheque payable to ‘Centre for the Study of Civic Renewal’ and return to:

P.O. Box 19045
360A Bloor St. West
Toronto, Ontario
M5S 1X1

Thank you for your support.

(Please note: The CSCR is not able to issue tax receipts for donations or membership fees at this time.)