MUMM Membership Form

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Name *

Address *

Phone Number *

Email *

What is your preferred method of contact?

PHONE

SNAIL MAIL

If we call you, and someone
other than you answers the phone, may we leave a detailed message?

YES

MEETINGS

I would like to attend meetings.

I would be willing to carpool

I may need a drive to be able to participate

I would be willing to take and transcribe minutes (rotating basis)

COMMITTEES

Rallies/Special Events

Membership

FUNdraising

Education

Newsletter

Court Support

RALLIES AND EVENTS

I would like to attend rallies and special events.

I am willing to assist with some odd jobs required pre-event.

I am willing to assist with some odd jobs required on the day of an event.

I can distribute posters/information in my area.

I can print off posters on my printer, please email them to me.

COURT SUPPORT INITIATIVE- I would be willing to support a medical patient or medication provider who's been charged under the CDSA by:

Attending as a court observer.

Placing phone calls or writing letters in support of the individual.

Taking part in a peaceful protest as a show of support.

Other:

MEMBERSHIP

I would be willing to recruit new members from my friends and family.

I would be willing to assist in a membership drive at a local shop or flea market.

INDIVIDUAL ACTIVISM

I will contact my MP to discuss my concerns about the governments mishandling of the medical marijuana program.

I will contact my MLA to tell them I think the provincial government should offer financial assistance to exemption holders to allow them to purchase/grow their medicine.

I am willing to make a one-time donation to MUMM to assist with reproducing printed materials for distribution.

I am willing to take information packages to Doctors in my area.

FUNDRAISING

I would like to be informed of MUMM fundraisers.

I would be willing to assist with a BBQ/Canteen at MUMM activities.

I would be willing to assist at a flea market/farm market table for a few hours on a Saturday or Sunday morning to sell items and distribute information.

I would be willing to donate baked goods, items for a flea market table or items to raffle.

SPECIAL TALENTS OR ABILITIES

Photographer

Organizational Abilities

Computer Skills

Musician

Able to donate raffle items

Research skills

Journalist

Willing to sell tickets

Graphic Arts

Other:

MEMBERSHIP FEES

$10 for a regular, annual membership for patients, caregivers, and medication suppliers.m (no potential member will be refused if they are unable to afford the membership fee.)

$30 for a Super Supporter membership, and receive all of the benefits of a regular member PLUS knowing that you have contributed towards our educational campaign while becoming the proud owner of a MUMM tshirt. Please indicate the size you need in the "other" box below. (S,M,L,XL)

Other:

Membership fee can be sent to Chair@Mumm.ca via Etransfer or Paypal. Your membership card will be issued on receipt of application and payment. Thank you for your support.

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