Grandmothers of Alberta for a New Generation (The GANG)
Membership 2016-2017 Fee: $20.00
(Yearly membership: September 1 to August 31)
City: ________________________ Postal Code: _____________
Email address: ________________________________________
Activities you would like to be involved in: (check as many as you like!)
GANG members may be photographed individually or in group settings for use in various GANG communications, including but not limited to, promotional materials, The GANG newsletter, and on The GANG website. Please check one of the following:
___ I do not give permission to The GANG to use my image.
I give permission for my contact information to be shared with other members of The GANG.
I understand that all projects undertaken in the name of The GANG must first be approved by The GANG Board of Directors and that any use of the Stephen Lewis Foundation name must be approved by the Foundation. I understand that the information I provide on this form is considered valid until such time that I notify The GANG of any changes.
Cheques are payable to The GANG. Please mail completed form and payment to:
PO Box 82049, Yellowbird RPO
Edmonton, AB T6J 7E6
Questions? Contact Sue at 780-237-4504 or email email@example.com
Date/amount Payment Received: _____________
GANG Membership Coordinator: ___________________________