Community Heritage Ontario - Membership Form

Date: ___________________________________

Name: ______________________________________________

Organization: _________________________________________

Address: _____________________________________________

City: ____________________ Province: ______ Postal Code: _____________

Tel: ( _____ ) _______________ Fax: ( _____ ) ________________

E-mail: __________________________ @ __________________________

Membership Benefits

- Annual subscription to the quarterly CHO News

Membership Fees

MHC (LACAC) Membership* ------ $ 60.00
Individual Membership ------------- $ 25.00
School / Student --------------------- $ 15.00
Corporate Membership** --------- $100.00
Charitable donation -----------------$ _____
Supplementary copies of CHO News _____ copies @ $3.00 ea. ______

*MHC Membership includes up to six copies of the CHO News and voting privileges at the Annual General Meeting
**Corporate Membership fee includes four business card sized insertions in the CHO News.

Community Heritage Ontario is a registered non-profit charity and upon request will issue a charitable tax Receipt for donations.

Please submit cheque payable to Community Heritage Ontario addressed to:

Richard Schofield
CHO Secretary / Treasurer
24 Conlins Road,
Scarborough, ON M1C 1C3
Ph: (416) 282-2710
Fax: (416) 282-9482
schofield@communityheritageontario.ca