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Membership Form

 

“Membership drive RISE forward”

 

Membership gives you a vote in what RISE does and how RISE

operates.  Membership includes:  voting at the AGM; a regular newsletter; free internet access to our wheelchair accessible computer station; special notice to our many regular activities and easy

access to peer supports when requested.

 

An organization like RISE depends on input from its 

memberships, volunteers and many participants (not that the three are mutually exclusive), in order to direct its energies, programs and

personnel to those areas relevant to you.

 

To become a new member, or to renew your membership, please complete the form below and return it to RISE with your membership commitment.  Call us if you would like us to pick up your paid membership registration form.

Please Note *  We are having some difficulties with our forms at the moment, please print off the form and mail it in to RISE, 100-70 Isabella Street, Parry Sound, Ontario, P2A 1M6.

 

Membership Form

  Single Member                       $10.00   

 Family Membership                $15.00

  Corporate Membership            $20.00

  In-Kind Support                      $0

Name:

Address:

City:      State/Province:

Country:     Zip/Postal Code:  

Phone:

Email:

Method of Payment

Cash     Cheque    In-Kind

Cheque #:

  I would like to receive the newsletter in an alternate format.

      Large Print/Yellow Paper

    On Website...no paper

       Audiotape

 

 I am interested in exploring volunteer opportunities with RISE         

  I would like more information on the following programs

           Direct Funding

                                                  

 

RISE: Resource Centre for Independent Living, 100-70 Isabella Street, Parry Sound, Ontario, P2A 1M6

Phone: 1-800-634-6828, (705) 746-6996   Fax:  (705) 746-2323    Email: riseadmin@cogeco.ca