Canadian Canal Society - Membership Form

Canadian Canal Society - Societe des Canaux du Canada

Canadian Canal Society Membership Form

You may fill out this form on-line and then print it, or print out a blank form and fill it in by hand. Please mail it, with a cheque or money order to the address shown below
(use the print button on your browser to send this form to your printer)
Individual: $20.00*
Family: $25.00*
Institution: $35.00*
Contributing: $30 or more
* members electing to receive our newsletter, Canals Canada, by email may reduce the appropriate membership fee by $5.00

I would like to make an additional donation of towards the work of the Canadian Canal Society.

Name:
Mailing Address:
City:	Prov:	Post/Zip Code:	Country:
Email: I'd like to receive the newsletter "Canals Canada" by: postal mail or email
Please make your cheque or money order in Canadian funds payable to the "Canadian Canal Society" and mail to: