Family Network for Deaf Children

Voice/Text: 604-684-1860

FNDC FAMILY NETWORK FOR DEAF CHILDREN

MEMBERSHIP FORM

P.O. Box 50075, South Slope R.P.O

Burnaby, BC V5J 5G3

If you prefer, you can print and mail:
click here to open PDF

MEMBERSHIP FORM April 1, 2010 until March 31st, 2011.

$15.00 to receive newsletters/bulletins by regular mail

$5.00 to receive newsletters electronically (email)

Note: voting members are parents/legal guardians of a deaf/hh child. One vote per family.

If you are unable to pay at this time, please just let us know!

Birth year of your deaf/hh child: . This helps with our program planning.

$25.00 to receive newsletters/bulletins by regular mail

$5.00 to receive newsletters electronically (email)

Note: non-voting membership

DONATIONS
I would like to make a charitable donation of $ (income tax receipts will be issued for donations over $10.00) Thank you for your continued support. Registered charitable: 88622 5655 RR0001 THANK YOU FOR YOUR SUPPORT!

ENTER YOUR DETAILS
Full name:
E-Mail address:
Mailing address:
City, province:
Postal code:
Home telephone:
Please make sure that you add newsletter@fndc.ca, fndc@fndc.ca, and fndc@shaw.ca to your safe sender’s list and put in your contact list (address book) on the computer.

Method of Payment: Visa Mastercard Cheque *

Charge card #: Expiry Date (MM/YY):

* Please make your cheque payable to FNDC Family Network for Deaf Children.

Please print this payment receipt for your record of paying your FNDC membership fees.
For any Donations over $10.00, a registered Charitable Tax Receipt will be mailed to you.

If you prefer, you can print and mail:click here to open PDF

MEMBERSHIP FORM April 1, 2010 until March 31st, 2011.

Note: non-voting membership

Registered charitable: 88622 5655 RR0001

If you prefer, you can print and mail:
click here to open PDF