MEMBERSHIP FORM

To become a member of OCSCO please complete the following and mail in to the address at the bottom of this sheet.

 Organization/Individual Name:________________________________________________________

Contact Name:          _______________________________________________________________

Mailing Address:       _______________________________________________________________

_________________________________________________________________________________

 

City, Province: ___________________________ Postal Code: _____________________________

Telephone:     (h)______________________ (w)___________________________

Fax:                 (h)______________________ (w)___________________________

 

Email: _____________________________ Website: http://__________________________________

Can we have a reciprocal linking arrangement for our websites?:___________________

Membership Size:______________________ Date: ____________________________

 

MEMBERSHIP FEES

 

 Voting Members: Seniors organizations or divisions with:

                                                Under 100 members                 $ 25.00 q

100–299 members                   $ 50.00 q

                                                300–1,000 members                $ 75.00 q

                                                Over 1,000 members                $100.00 q

 

Associate members (Non-Voting)

                                                Under 100 members                 $ 25.00 q

                                                100–299 members                   $ 50.00 q

                                                300–1,000 members                $ 75.00 q

Over 1,000 members                $100.00 q

 

Individual Members (Voting)

                                                Annual                                      $ 10.00 q

                                                Life Member                            $100.00 q

Membership Fee: $___________

Donation - Tax Receipt Available: $___________

Total Amount Enclosed:$___________

Payment Method:   Cheque q Visa q

VISA Cardholder Name:___________________ Number:_____________ Expiry Date: _______

Membership fees apply for the calendar year and are payable January 1. Please make your cheque payable to OCSCO and mail to:

660 Briar Hill Avenue, Suite 207, Toronto, Ontario, M6B 4B7

Tel: 416 785-8570 Fax: 416 785-7361 Toll Free: 1-800-265-0779 Email: ocsco@web.net