KWIC Membership

Printable PDF versionKWIC Membership & Donation Form

Suggested Member Contribution
$20 waged / $10-$5 unwaged or pwyc

Member Details

Name :
Address:
Postal Code:
Telephone:
Email:
Membership: $
Additional Donation: $
Total amount enclosed: $
Donation: $
Payment: Cheque Cash

To reduce cost and paper-use, KWIC’s bi-annual newsletter is sent out electronically. Would you prefer to receive a hard copy in the mail?
Yes No
Charitable Registration Number:
14041 6884 RR0001

All Donations are welcome. Receipts will be issued for contributions of $10 and more.

Please return this form to KWIC, Box 895, Peterborough, ON K9J 7A2, or drop by our office. . KWIC is located at Trent University in Room B101, in the Environmental Science Building on the East Bank.

The information on this site is provided by Kawartha World Issues Centre