THE GULF ISLANDS ALLIANCE

MEMBERSHIP FORM

DATE ___________________________________

We invite you to become one of our founding members:

_____ Living lightly: $10 (students, seniors, limited income)
_____ Individual: $25
_____ Family or household: $35
_____ Business or organization:   $50
_____ Supporter: $100-400

Please consider supporting our new organization as one of our major founders:

_____ Steward:   $500 and above

 

Name ____________________________________________________________
Address ____________________________________________________________
Postal Code _________________
Phone _______________________
E-mail* _______________________________________________

Please print this form, fill it out and send it to:

The Gulf Islands Alliance 
P.O. Box 795  
Salt Spring Island, BC V8K 2W3




*The Gulf Islands Alliance will not share your email address with other individuals or organizations without your permission. 
Providing an e-mail address will allow you to participate in our action alerts and electronic publications.  
Contributions to the Gulf Islands Alliance are not tax deductible.