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CPF Nova Scotia Branch 8 Flamingo Drive Halifax. N.S. B3M 4N8
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MEMBERSHIP APPLICATION FORM
CPF ALLOWS TOW NAMES PER FAMILY, OVER THE AGE OF 18 YEARS, AS VOTING MEMBERS.
O Change of Address O New Membership O Renewal : Membership #__________________
MEMBER INFORMATION
Name___________________________________________________________
Second Adult in the Household________________________________________
Street___________________________________________________________
City____________________Province__________Postal Code______________
Telephone_______________E-mail___________________________________
School Board_____________________________________________________
School__________________________________________________________
Local CPF Chapter/Section______#3515__________________________
Occasionally, the CPF membership-list may be available to other groups/agencies to offer members benefits of education-related information. Use of the list will be carefully regulated and only permitted under a contract specifying confidentiality and one-time authorization. O If you do not want to recieve mailings other than directly from CPF, please check this circle
Thank you for your support. (CPF Charitable Reg. No. 11883 5131 RR0001) |
MEMBERSHIP FEES 1 YEAR- $25.00_________________ 3 YEAR- $60.00_________________ 1 YEAR (AMO)- $60.00___________ DONATION____________________ TOTAL _______________________ 65% of your membership fee is for your local Chapter and %35 of the fee is divided between the National office and your provincial/territorial branch.
DONATIONS Your gift of support to CPF is also welcomed Donors are recognized into 3 categories: O BENEFACTOR -gifts of $250 and more O PATRON -gifts of $100 up to $250 O SUPPORTER -gifts of up to $100 Every donation is important to us. However, due to cost, receipts will be issued at the end of each year, for donations of $10 or more, unless one is requested AMO Associate Member Organization is available to organizations who endorse the goals of CPF. The AMO is entitled to newsletters and other designated reports or mailing. AMO status confers no right to vote PAYMENT OPTIONS O VISA O MASTER CARD O CHEQUE ENCLOSED
CARD #_________________________________________
EXPIRES________________________________________
DATE__________________________________________
SIGNATURE_____________________________________ |