Membership Term 1 Year - $20

Last Name First Name

Mailing Address
Street/Apt City & Province
Postal Code

Telephone Number
Home: Cell:
Work:

Your Email

Profession

Skills you can contribute to WINGS

Languages Spoken

Age Group ---18-2526-3536-4950-5960+

How did you hear about WINGS ---Friends/FamilyWebsiteWord of MouthCommunity EventReferredOthers
If you were referred, mention member name
If you selected others, mention details

Interested in volunteering
Yes! As a member I wish to help WINGS by volunteering with the organization.No

Payment Information
Membership begins from the date of receipt of the membership application for the duration of the membership applied for. Please indicate one of the following methods of payment:
By cheque/money order payable to Women's Initiative to Nurture, Grow and Support (WINGS).Cash-Only accepted in person

*Membership is subject to approval by the Governance Committee and would be in consonance with the organization's bylaws.

Women's Initiative to Nurture, Grow and Support (WINGS) is committed to protecting the privacy and personal information of its donors, volunteers, employees and other stakeholders and adheres to all legislative requirements with respect to individual privacy. The information you provide will remain strictly confidential and will not be disclosed to third parties.

I hereby confirm that I am over the age of 18. I understand and agree that the information provided on this form is accurate.

Yes, I accept all the terms and conditions of the membership