Associate Membership Application

Associate members are any organization, business or individual supportive of the mission, aims and purposes of LLO.

Annual Membership fee: $75.00

To join LLO as an Associate Member, please submit the form below. If you require additional information, please call us at 1-866-608-2574.

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Name

First

Last

Phone

Name of Business or Organization

Type of application

Individual Application
Organization or Business Application

How did you hear about Laubach Literacy Ontario?

What is the main reason you decided to become a member?

Organization Information (if applicable)

Organization Status

Incorporated
Registered Charity

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Payment

Payment Options

The annual fee for Associate Membership is $75. You can mail us a cheque to 8A-65 Noecker St, Waterloo, ON N2J 2R6. If you prefer, we can send you a regular or Paypal invoice.