Organizational Membership Application

General Information

Your Full Name *

Contact name in the organization

Your Email *

Organization Name

How did you hear about Laubach Literacy Ontario?

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

Address

Street Address

City

Postal Code

Province or Territory

Phone *

Cell Phone

Alternate email address

Website address

Payment and Acknowledgement

Payment Options *

The annual Organizational Membership fee is $50. 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. We have acknowledged the benefits of being a member of Laubach Literacy Ontario, and understand that in return we agree to become a member in good standing of LLO by: Supporting the aims and purpose of Laubach Literacy Ontario Providing literacy training primarily to youth and adults Exercising our right to vote by attending Annual General Meetings or sending in a proxy Providing LLO with annual statistics, and responding to requests for input

member id

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Laubach Literacy Ontario

Application Form