MEMBERSHIP

In order to become a member please fill out the Individual Membership Application Form listed below.

Yes I would like to:
Name
Address
Postal Code
Email
Phone (work hours)
Phone (evening)
If working, what Organization?
Position Title
Please tell us a little about yourself:
Who do you work for?
What type of work are you doing?
In what field is your work? (Please check all that apply)
Other (please specify)
If you are interested in participating in one of the coordinating committees of Mishko Bimaadziwin, please tick appropriate box:
If you are interested in volunteering for Mishko Bimaadziwin, please indicate in what capacity.
Would you be willing to volunteer for the Mishko Bimaadziwin Golf Tournament?
Membership Categories


PRIVACY DISCLAIMER - The collection of these details is primarily so that we can register you as a member of Mishko Bimaadziwin. This information will be stored in the Mishko Bimaadziwin database and may be used for future marketing of Mishko Bimaadziwin events.
 
If you would like to provide a donation to Mishko Bimaadziwin to support the work of this organization, please mail your cheque to: Mishko Bimaadziwin Family Support Centre, Suite 295 - 1100 Memorial Avenue, Thunder Bay Ontario, P7B 4A3.