Canada South Land Trust
Application for Membership in Canada South Land Trust
Please complete the application in full.
Address ___________________________________ (Street)
(City) (Postal code)
Are you under eighteen years of age? Yes ____ No _____
Occupation _________________________________
Place of work _______________________________
Phone ______________(Home)
Phone ______________(Work)
Fax number _________________
E-mail ______________________
Canada South Land Trust Volunteer activities
Why are you interested in becoming a volunteer of the Canada South Land Trust?
What experiences/expertise do you possess which would assist the Land Trust?
I understand and support the Aims and Objectives of Canada South Land Trust.
Signature Date
Individual Membership $20.00: ________ Family Membership $25.00: _______ Under 18 years:$5.00 ___________ Donation : _______________ (CSLT charitable organization business number, including charity account identfier: 85741 7331 RR0001)
Please return application, along with a ______ cheque for the annual fee to Canada South Land Trust, 2405 Princess Avenue, Windsor, Ontario N8T 1V2 (Do not send cash) (12/22/03)