THE ODAWA NATIVE FRIENDSHIP CENTRE
12 STIRLING AVENUE, OTTAWA ONTARIO K1P1P8
PHONE: (613) 722-3811 FAX: (613) 722-4667
www.odawa.on.ca
MEMBERSHIP FORM
Today’s Date______
Becoming a member gives you the privilege of voting and holding office as a member of the Board of Directors.
This membership entitles you to take part in the programs that are offered at the Centre and participate in any program of your choice.
We offer programs for every age group so there’s always something for everyone.
Every member has the right to contribute to the Centre, in any positive way so we may reach new goals & develop new progress while keeping Odawa’s objectives in mind
Members under 18 years of age are not eligible to vote in matters affecting the administration of the centre.
All applications will be kept in strict confidence.
Please Print:
First Name: / Last: / # of Childrenunder 18
Spouse Name:
/ Spouse Last:
Mailing Address:
Home Phone ( ) - / Work Phone ( ) -
Fax Number ( ) - / Extension:
Email Address:
To help keep our records updated, please notify us if you change addresses or contact numbers – Thank You!
Family / $ 20.00 / Year
Adult / $ 10.00 / Year
Student / $ 5.00 / Year
Senior / $ 5.00 / Year
Tell us about yourself: (Optional)
Métis: ______Status: ______Non-Status: ______
Inuit : ______Band: ______
Other: ______
Are you willing to volunteer
some of your time?
Yes? ( ) No? ( ) Not Sure? ( )
If yes, please specify;
Children’s activities, Cultural activities, Social events, Youth recreation
or fund raising.
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For more information about Odawa Programs please visit
www.odawa.on.ca
www.facebook.com/Odawa.Frendship
If you have any comments or interests please share ______
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------Office Use Only------
Receipt Number: / Renewal:
Receipt Signed By: / Adding to Membership:
Expiry Date: / Added to Mailing List:
* Please pay in person or make cheque/ money order payable to The Odawa Native Friendship Centre