General membership: $20.00 annually
Includes notices of events, voting privileges, participation at all
meetings, and may serve on the board of directors.

Supporting membership: Individuals making regular monthly, 
quarterly, semi-annually or other contributions over and above 
the annual general membership fee. Tax receipts will be issued for
contributions over and above the $20.00 membership fee. Same 
privileges as general members.


0  $20.00 General Member 

0  Supporting Member making regular contributions of 
    $_________ monthly, quarterly or semi-annually

0  $ _________ Donation    (Tax receipts will be issued at the end of the year.)


Name . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 

Tel # . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Street .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

City . . . . . . . . . . . . . . . . . .  . . . . . Prov. . . . . . Postal Code . . . . . . . . . . . 

Email  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 


I authorize the Buddhist Place to share my contact information with 
other members of this group but understand that it will not be released 
to other groups or individuals.


Signature . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Date . . . . . . . . . . . . 

Tax receipts will be issued at the end of the year.

The Buddhist Place
c/o 588 Stewart St.
Peterborough, ON  K9H 4C1