Membership Form

A DRC Membership entitles you to voting privileges at our Annual General Meeting (AGM), a subscription to our quarterly newsletter (Flying Turtles), access to our computer program, and much more…

Date:____________________                

Name:___________________________________________________________

                       First                                        Last

Address:________________________________________________________

               Apt. #/House #            Street                        

_____________________________________________________________________________

               City                                Province                       Postal Code

Telephone:______________________        Mobile:_____________________

Email:___________________________________________________________

Birthdate:______________________

        Day/Month/Year

New Member:______                Renewal:_____

I would like to receive the quarterly newsletter electronically:______

Memberships are $5 and will expire one year after date of issue.

I would like to make a donation of $_______ to the DRC.

I require a tax-deductible receipt. Yes___ No___

FOR OFFICE USE ONLY

Membership #_____________  Expires__________________

                                                  month/year