Membership and Donation Form
Yes, I support the World Federalist Movement - Canada.
My membership payment to World Federalist Movement -
Canada, 207-145 Spruce St., Ottawa, K1R 6P1 is enclosed.
Membership Rates:
o $15 Limited Income o $40 Individual o$60
Household o $150 Contributor
Membership payments are payable to World Federalist
Movement - Canada and are not tax creditable.
Donation: $
. . . . . . . . . . .
To receive a tax credit, make donation payable to:
World Federalist Foundation (Char. Reg. 123998957RR0001).
Address:.
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. . City: . . . . . . . . . . . . .
. . . . . . . . . . Postal Code:. . . . . . . . . . . . . . . .
E-mail
address: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . Telephone: . . . . . . . . .
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Print this form, fill it and mail it with your cheque to
World Federalist Movement - Canada, 207-145 Spruce St., Ottawa, K1R 6P1.
o Please
tick if you would like information on nearest branch activities.