Step 1. Simply print off this page.
Step 2. Complete the form.
Step 3. Mail this completed form along with your cheque or money order to:
Memberships c/o Care From The Core Inc.
1213 - 15th Avenue. Regina, Sk., Canada, S4P 0Y8,
Membership Application for a Yearly Membership is only $10.00
Please make cheques or money orders payable to:
Care From The Core Regina Inc.
As a member you support our organization and keep up to date
on all events and programs.
Date:____________________________________________
Your Full Name:_____________________________________________
Address:___________________________________________________
__________________________________________________________
Postal Code:_______________________________________________
Phone:____________________________________________________
E-mail address:_____________________________________________
Thank You for your support. We will be in touch with you soon.
Care From The Core Regina Inc.
1213 - 15th Avenue. Regina, Sk., Canada, S4P 0Y8,
Phone: (306) 347-CFTC (347-2382)
Fax: (306) 347-2501
Email: contact@carefromthecore.com
http://www.carefromthecore.com