DAWN Ontario: DisAbled Women's Network Ontario

Membership Form
Print Copy


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 online, please follow this link for a form that you can complete online, and mail in your memebrship dues at the above noted address.

Please email us for further information at dawn@thot.net

 

ANNUAL FEE:

[ ] $10 - Individual
[ ] $25 - Consumer-Run Group or Networking
[ ] $50 - Government
[ ] $50 - Service Agency Name: ______________________________________________________________ Organization: _______________________________________________________
Address: ___________________________________________________________ _______________________________________________ Apt # ______________ City: _______________________________________________________________ Province: __________________________ Postal Code ___________________ Daytime Phone Number: ( ) _______ - ________________ Evening Phone Number: ( ) _______ - ________________ Email: _____________________________________________ URL: ________________________________________________ Please send my information in: [ ] Email
[ ] Print [ ] Large Print [ ] Audio Cassette Tape [ ] 3.5" Diskette - Specify Format & Version _____________________________________________ (e.g. MS Word, WordPerfect, text)

 


Join our Discussion forums online

http://dawn.thot.net/list.html
integrated mailing lists and web boards

To Join our national network, DAWN Canada
visit www.dawncanada.net


 


Website designed & maintained courtesy of Barbara Anello