GLOSSI MEMBERSHIP FORM

GLOSSI MEMBERSHIP FORM

Name: ___________________________________________________________

Address: _________________________________________________________

Postal Code: ______________________________________________________

Telephone: ______________________ Fax: ___________________________

Email: ___________________________________________________________

Website: _________________________________________________________

Interests: _________________________________________________________

Partner’s Name: ___________________________________________________

Are you interested in being a member of GLOSSI for 2007? If YES, please indicate Membership Fee Option: Couple/Household: ¨ $25.00 Single Membership: ¨ $15.00 Sliding scale ($1 - $24): ¨ $_____ Additional Donations are Appreciated, Please indicate here if you are donating more: ¨ $_____ Please make Cheques payable to GLOSSI. *Thank-You!*	¨ YES	¨ NO
Do you wish to be notified of upcoming events? If YES, please indicate your ONE preferred method? ¨ Mail ¨ E-Mail ¨ Telephone ¨ Fax	¨ YES	¨ NO
Are you interested in volunteering for GLOSSI activities? If YES, Please discuss your interests and availability with a Board Member and list possible interests here:____________________________________________________________________________ ________________________________________________________________________________	¨ YES	¨ NO

GLOSSI Website Business Directory

Do you have a business you would like listed:

ALL Listing (each): ¨ $15.00

Please Contact the Treasurer to arrange.

Current Listing will be maintained until April 30 each year.

¨ YES

¨ NO

Signature: __________________________________________ Date: ___________________

Membership forms and dues can be returned by mail (P.O. Box 644, Salt Spring Island, BC V8K 2W2), or in person to any board member, or bring it to one of the next GLOSSI Social Events, check the website for details.