GANG Membership Form

GANG Membership Form

Annual Membership September 1 - August 31 Fee $25.00
Member Category

New MemberMember Renewal
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityProvince

Postal Code
Phone Number (home)
Please enter a valid phone number.
Phone Number (cell)
Please enter a valid phone number.
Email
example@example.com
We offer many volunteer opportunities! Come to one of our monthly meetings to find out more- check the events calendar at edmgrandmothers.org for dates and times.
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 imageI 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.

YesNo
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.

Yes, I understand
Membership fee is $25.00 annually. Please indicate your method of payment:

etransfer to edmgangtreasurer@gmail.comcheque payable to GANG, mail to GANG Membership Coordinator, PO Box 82049 Yellowbird RPO, Edmonton Alberta T6J7E6
Questions? Contact Annette, annettemariepeck@gmail.com
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