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Thanks for your interest
in becoming a member of

Community Living Port Colborne logo


Your support is appreciated!

Become a member is 3 easy steps...

1. Fill out this form.
2. Print this form.
3. Mail this form with your donation.
 

 

Name:
Address:
City: Postal Code:
Province: Telephone:

This is A New Membership
This is A Renewal Membership

$5.00 single/family Membership:
$ .00

Your donation will help support the Vision and Goals of
Community Living Port Colborne - Wainfleet:
 $ .00

Notes:
Make your cheque or money order payable to: Community Living Port Colborne
Mail to:
Community Living Port Colborne - Wainfleet
100 McRae Ave.
Port Colborne, Ontario
L3K 2A8

Official Income Tax Receipts will be issued for all paid Memberships and Donations

 

 

 

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"A Community Where Everyone Belongs"
- Community Living Port Colborne & Wainfleet - 100 McRae Rd. Port Colborne, ON, Canada - 1-905-835-8941 -

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