Application to be a Learning Champion "Individual Membership" PayPal Payment

Application to be a Learning Champion "Individual Membership" PayPal Payment

Lifelong Learning Canada (LLC) is a unique lifelong learning community that promotes and encourages all kinds of learning for all ages of Canadians. Our dream is of a prosperous Canada enriched with a love of learning – a Learning Canada.

LLC gifts, recognizes and celebrates lifelong learning through:
- Gifting – Needy learners are matched with the generous learning heroes, so they do not miss out on learning.
- Recognizing – Canadian workplaces, communities, providers and lifelong learners are recognized as excellent in their learning.
- Celebrating – All of us are encouraged by the success stories we share and celebrate.
Yes, I want to become a Learning Champion!

Individual Yearly Membership $25.00
Name*

First NameLast Name
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Signature*

Clear
Date*

MonthDayYear
Date
Individual Annual Membership*

prevnext( X )
CAD$25.00/year
Questions or Concerns? Please email info@canlearntrust.org

Would you kindly share with us two contacts that you would like for us to contact with more information?

Rows	Name	Email	Organization
1
2

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