MEMBERSHIP FORM

 

FOR THE YEAR OF                                                   

 

______  new membership                                            _______  renewal membership

 

BUSINESS/ASSOCIATION NAME:                                                                                                        

(if membership is for a business or association)

 

FIRST NAME(S):                                   LAST NAME(S):                                              

 

MAILING

ADDRESS:                                                                                                                                            

(INCLUDING POSTAL CODE)

 

 

E-MAIL ADDRESS:                                                                                                                               

 

 

HOME PHONE:                                                               LOCAL PHONE:                                              

(IF APPLICABLE)

 

          LOCAL ADDRESS:_____________________________________________________________________

(IF APPLICABLE)

                                                                                                           

 

YOUR CONCERNS OR ISSUES:

 

 

WOULD YOU VOLUNTEER TO WORK ON AN ISSUE?

 

MEMBERSHIP FEE               $20.00 PER HOUSEHOLD              Paid by                 Cash ______       Cheque ______

           

                        DO YOU REQUIRE A RECEIPT?      YES _____           NO _____

 

** We respect your privacy.  We do not share members’ names and addresses. **

Please make cheques payable to Greater Gravenhurst Residents’  Association.

Please mail your payment and membership form to:

                                                   Lori Smith                                              687-3387              thinice@muskoka.com

                                                   1 – 155 Progress Drive

                                                   Gravenhurst, Ontario          P1P 1X4

 

HOW DID YOU HEAR ABOUT THE ASSOCIATION?: