Island Deaf and Hard of Hearing Centre

March 2010 - 2011 Membership

 

Please print out the following information and mail or drop off at IDHHC office

 

I wish to become:

 

•       Individual Adult Membership                                   $20
  
  
•       Individual Adult Membership with Library card      $25
  
  
•       Student Membership                                                 $15
  
  
•       Student Membership with Library card                     $20
  
  
•       Family Membership                                                  $35
  
  
•       Family Membership with Library card                     $40
  
  
•       I wish to make a donation of ________________________________________
  
  
•       I would like to receive more information on____________________________
  
  
•       I am interested in volunteering

 

Name:_____________________________________________________

Address:___________________________________________________

__________________________________________________________

City: _________________________ Postal Code; ___________________

 Phone: _______________________ * voice    * tty

 Email: _____________________________________________________

Please make cheques payable to : Island Deaf and Hard of Hearing Centre

                                                      # 300-1627 Fort St

                                                      Victoria , BC

                                                      V8R 1H8

 

(We also accept Visa and Mastercard payments – please call the Victoria office at 592-8144)

 

Membership valid until March 31, 2011