Join Now

Read the Mission and Objectives of OWN before joining.
Please print out this Membership Application, fill in, and mail with your cheque to
Older Women's Network, 115 The Esplanade, Toronto, ON, M5E 1Y7

Own Membership Application for 2007
□ New                         □ Renewal
□ Requested: $35.00   □ Low Income: $25.00   □ Organization: $60.00
□ Sustaining Member (Pre-authorized Chequing) see below

Where I Can Help
□ Volunteering   □ Membership and social event committees
□ Public education forums   □ International women’s issues
□ Web site and communications   □ Fund raising   □ Teltree Caller

Name: ____________________________________________________

Address: ______________________________City _________________

Prov.: _________________  Postal Code: ________________________

Telephone: ____________________ E-mail: ______________________

 I would like to become a sustaining member of OWN and give year-round, making it cost effective and easier for OWN to make long term plans.

I would like to give monthly  □ $5.00   □ $10.00   □ $15.00   □$25.00   or □ $ ______ .   I authorize OWN to withdraw this amount from my bank account every month and have enclosed a cheque marked “VOID” so that OWN can arrange the monthly withdrawal from my bank account. I understand that I may change this amount or cancel at any time by notifying OWN in writing with 30 days notice.

Signature __________________________________Date________________

 Rev 11/11/06