DAWN Ontario: DisAbled Women's Network Ontario

Online Membership Form

In principle and practice, DAWN Ontario values and seeks a diverse membership. There shall be no barriers to full participation in this organization on the basis of gender, race, creed, age, sexual orientation, national origin, disability, or class.

Please complete our online membership form below.

If you are in a position to afford voluntary membership dues, you may mail your cheque or money order to:

DAWN Ontario
Box 1138
North Bay, ON  
P1B 8K4

If you prefer to complete your membership application offline, please follow this link for a form that you can print, complete, and mail to us at the above noted address, along with your membership fee.


MEMBERSHIP APPLICATION

Name: 

 

 
Organization: 

 

 
Address: 

 

 

Day Tel:
area code + number

Evening Tel: 
area code + number

Fax: 
area code + number

 

 

Email: 

URL (website): 

 

 

Occupation:  

Disability (optional)

 

 
Membership Type:
Individual membership $10
Consumer-driven group $25
Agency $50
Government $100

 

 
Preferred Information Format: 
Email
Print
Large Print
Audio Cassette Tape
3.5 inch diskette

Specify format & version of diskette: 

 

 
How did you learn about DAWN Ontario?:  

 

 

 

 


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Website designed & maintained courtesy of Barbara Anello

 



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Page last updated February 16, 2004