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Membership Form

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MEMBERSHIP FORM

Print out this page,
complete the details
and mail it to:

SAWW
24 Woodrow Avenue,
Toronto, Ontario,
M4C 5S2

Phone: 416-691-9406
Fax.: 416-691-5916

 

If applying under the General Individual and/or Designated membership categories, please complete the following. Please indicate the appropriate membership category 

Mr.         Mrs.         Ms. 

First name ..........................................................


Last name .............................
.............................

Address .............................................................

.........................................................................

Province/ Code ..................................................

Home Phone # ...................................................

Bus Phone# .......................................................

Fax # ................................................................

E-Mail Address ...................................................

Employer ..........................................................

Address ............................................................

.........................................................................

If applying under the Business or Corporate Membership Category please complete the following. Person 2 and 3 should complete separate forms.  Please indicate appropriate membership category.

BUSINESS NAME .......................................................

CONTACT NAME ........................................................

BUSINESS ADDRESS .................................................

................................................................................

TELEPHONE ...............................................................

FAX ..........................................................................

E-MAIL ......................................................................

WEBSITE ...................................................................

MEMBERSHIP FEE STRUCTURE:
     CORPORATE MEMBERSHIP • $1,000.00

     BUSINESS MEMBERSHIP • $175.00
     GENERAL/INDIVIDUAL MEMBERSHIP • $50.00
     DESIGNATED MEMBERSHIP • $25.00

METHOD OF PAYMENT:

CASH

CHEQUES (Payable to South African Women for Women)

SAWW accepts cheques payable to South African Women for Women. Our Treasurer will contact you for payment on the receipt of your application.