Literacy Nova Scotia Membership Form
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Membership Category
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Organization
Practitioner
Learner/Student
Supporter
New Membership or Renewal?
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New membership
Membership renewal
First Name
*
Your answer
Last Name
*
Your answer
Address
*
Your answer
Email
*
Your answer
Phone
*
Your answer
Fax
Your answer
How would you like to receive the LNS Annual Report?
*
Email
Website
Would you like to sign up to receive the LNS enews - a monthly notification of opportunities, events, news?
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Yes
No
Already receiving
Please take a few minutes to answer the following questions so we can get to know you better.
This section is optional.
Are you involved with an adult learning program? If so, how?
Your answer
What is your learning organization / business?
Your answer
Do you have a special area of interest in adult literacy? (e.g. learning disabilities, teaching methods, advocacy)
Your answer
Membership Fees
Individual: $10.00/year (Waived for learners enrolled at community learning organizations)
Organizational: $75.00/year
Multi-year membership will be accepted at the same cost per year.
LNS Memberships run from September 1 — August 31 each calendar year. All memberships expire on August 31st and renewal fees are due on September 1st.
Total Membership Fee $
*
Your answer
Donation Amount $
Charitable income tax receipts will be issued for donations of $20 or more.
Your answer
Total Contribution $
*
Your answer
Payment Options:
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Cheque
Paypal
eTransfer
Membership fee waived for learners enrolled at community learning organizations
Required
Thank You!
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