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Membership Application Form
CPF allows one or two adults (over 18) per family as voting members.


[   ]  New Membership   [   ]  Renewal: Membership # _____________   [   ]  Change of Address

MEMBERSHIP INFORMATION

Name ___________________________________________________________________________

Address _________________________________________________________________________

City __________________________   Province ______________  Postal Code ________________

Home Phone : (_____) ___________________  Work Phone: (_____) ________________________

Fax: (____) _______________________  Email: _________________________________________

School Board: _____________________________________________________________________

School(s): ________________________________________________________________________

Local CPF Chapter: ________________________________________________________________

MEMBERSHIP FEES
BEST VALUE!          3 year - $60.00     $___________         65% of your membership fee supports the                                1 year - $25.00    $___________         activities of your local chapter, 25%                                Donation                $___________        supports CPF's work at the Branch level,
                               Total (No GST)      $___________        and 10% goes to CPF National to partially                                                                                               cover processing costs.

DONATIONS: Your gift in support of CPF is welcomed and appreciated. All donations are important to us. Thank you for your continued support. (CPF - SK Charitable Reg. No. 10686 5231 RR0001).


PAYMENT OPTIONS
[   ] Cheque Enclosed

I understand that the personal information collected on this form is for the purpose of forwarding various newsletters and other mailings related to FSL matters as well as fundraising materials.

Occasionally, the CPF membership list may be made available to other groups/agencies to offer members special benefits or education-related information. Use of the list will be carefully regulated and only permitted under a contract specifying confidentiality and one-time authorization. If you do not wish to receive mailings other than directly from CPF, please check this box:  [   ]

Please print, fill out and return this form to:

Canadian Parents for French-SK
303-115, 2nd Avenue North
Saskatoon, SK S7K 2B1 Canada