Literacy Nova Scotia Membership Form

Membership Category

Organization
Practitioner
Learner/Student
Supporter

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New Membership or Renewal?

New membership
Membership renewal

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Name

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Address

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Phone

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Fax

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How would you like to receive the LNS Newsletter?

Email
Paper Copy
Website

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Please take a few minutes to answer the following questions so we can get to know you better.

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Are you involved with an adult learning program? If so, how?

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What is your learning organization / business?

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Do you have a special area of interest in adult literacy? (e.g. learning disabilities, teaching methods, advocacy)

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Membership Fees

Individual: $5.00/year Organizational: $50.00/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. LNS Memberships purchased within six months prior to September 1st will expire on August 31st of the following year.

Total Membership Fee $

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Donation Amount $

Charitable income tax receipts will be issued for donations of $20 or more.

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Total Contribution $

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Payment Options:

Cheque
Paypal
eTransfer

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Literacy Nova Scotia Membership Form

Please take a few minutes to answer the following questions so we can get to know you better.

Membership Fees

Thank you!