NAPO: MEMBERSHIP APPLICATION FORM

THE NATIONAL ANTI-POVERTY ORGANIZATION
A Voice of Canada's Poor

NAPO: Membership Application Form

Please print this page to mail in.

Name
Address
City/Prov
Postal Code		Telephone

I have enclosed the annual fee of $ __________________ I have enclosed a donation of $ __________________ TOTAL ENCLOSED $ __________________

You can support NAPO by becoming a member or making a donation. (Registration No. 0418021-09-10)

Please make cheques payable to the National Anti-Poverty Organization
and return to: NAPO, 440-325 Dalhousie Street, Ottawa ON K1N 7G2
Phone: 613-789-0096 Fax: 613-798-0141

Membership Categories / Annual Fee

Regular member / $2.00

Any person who has lived in poverty or is now living in poverty.

Associate Member / $50.00

Any person who does not live in poverty but would like to support NAPO's work.

Group Member

Any group of low-income people or other non profit organization with an interest in the issues that concern the poor.

Total Annual Income

Less that $25,000 ...............................$ 5.00

$25,000-$100,000..............................$ 10.00

$100,000-$500,000............................$ 35.00

$500,000-$1,000,000.........................$ 100.00

$1,000,000 or more ............................$250.00

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THE NATIONAL ANTI-POVERTY ORGANIZATION A Voice of Canada's Poor