Application

Royal Commonwealth Society of Canada

Toronto Branch

Application for Membership

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Name:_{___________________________________}

Spouse: _{___________________________________}

_{Mailing Address: ___________________________________}

_{___________________________________}

_{City

___________________________________}

_{Postal Code
__________________}

_{Telephone #
__________________}

_{Fax #:

__________________}

_{Email address: __________________}

_{I/We hereby apply for membership in the Royal
Commonwealth Society Toronto Branch as:}

_{Annual Dues}

_{check one:    ______ Student

  $    15.00}

_{______ Single Member
35.00}

_{______ Spousal Member 45.00}

_{______ Life Member
350.00 - one time payment}

_{Signature(s): _______________________________}

_{_______________________________}

_{Date: _______________________________}

_{Citizen of : _________________________________
Commonwealth Country}

_{Return Address: or fax to 905-731-5926}

_{Royal Commonweath Society - Toronto Branch}

_{P.O Box 87595}

_{300 John Street}

_{Thornhill. Ontario L3T 7R3}