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Membership FormName: ______________________________ Agency/Organization (if applicable): _________________ Mailing Address: _________________________ Apt #:____ City: __________ Province: _______ Postal Code: ___________ Phone: _______________ Fax: _________________ E-mail: ____________________________ Membership includes our newsletter "Key Notes", program information and voting privileges at our Annual General Meeting. ___ Sign me up as a member. My $10 fee is enclosed. ___ I would like to sponsor a membership for ___ women. I am enclosing $10 per membership. ___ Sign up my organization as a member. Our $25 fee is enclosed.
Please send us ___ copies of the program brochure.
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