Become a Member

Grandmothers of Alberta for a New Generation (The GANG)
Annual Membership          September 1 to August 31    Fee: $20.00

New Member Application
Name: _______________________________________________
Address: _____________________________________________
City: ________________________ Postal Code: _____________
Telephone: __________________
Email address: ________________________________________

Activities you would like to be involved in: (check as many as you like!)

___ Fundraising Committee ___ Board ___ Education Committee ___ Short-term volunteering

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 give my permission to The GANG to use my image and to identify me in such image.
___ 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.

Yes: ______ No: ______

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.

Signed: _______________________________
Date: _________________________________

Cheques are payable to The GANG. Please mail completed form and payment to:

Sue Gibson, GANG Membership Coordinator
PO Box 82049, Yellowbird RPO
Edmonton, AB T6J 7E6

Questions? Contact Sue at 780-237-4504 or email segibson18@gmail.com

For GANG use only
Date/amount Payment Received: _____________
GANG Membership Coordinator: ___________________________