Membership / Donation Form

To become a member of CARES or to make a donation please complete and mail this form, along with your cheque, to the address listed below. Thank you!

Name: ___________________________________

Address: ___________________________________



City: _____________________________ Prov: _________________________________

Postal Code: ________________________ Phone: _______________________________

Membership Fee $25.00 $_______________ Donation (Tax Receipt) $_______________

TOTAL CHEQUE (enclosed):

$_______________

                                                            Mail the completed form to:

                                                            C.A.R.E.S.
                                                            505-8840 210 Street
                                                            Suite 290
                                                            Langley, BC. V1M 2Y2