Friends of the Rideau Membership Form

Membership Form

You may fill out this form on-line and then print it, or print out a blank form and fill it in by hand. Please mail it, with a cheque, money order or your VISA payment to the address shown below (VISA payments can also be faxed or emailed)
(use the print button on your browser to send this form to your printer)

Individual Membership: ($20.00) Non Profit / Municipality: ($35.00)
Small Business: ($50.00) Corporation: ($100.00)

I would like to make an additional donation of towards the work of Friends of the Rideau. We can issue, upon request, a tax receipt for any amount above the membership fees. Please send me a tax receipt: Yes No

Name:
Mailing Address:
City:	Prov:	Post/Zip Code:	Country:
Telephone:	Email:
Please make your cheque or money order payable to "Friends of the Rideau" or pay by VISA: VISA Number: Name on Card: Expiry Date:

Note: all amounts in $Canadian. If paying in $US, please use a conversion factor of 1.00 (i.e. if the amount is $CDN 40.00, you may submit $US 40.00. If paying by VISA, the conversion will be done automatically.

You can also download our most current Membership Brochure (Adobe PDF document)

Business Members Take Note: if you are interested in taking advantage of our free Internet Ad offer, such as those shown on our Some Rideau Services Page, please call or fax us for more information or download our business membership information (Adobe PDF documents)

Friends of the Rideau, 1 Jasper Avenue, Smiths Falls, Ontario, K7A 4B5 Canada
Tel : 613 - 283 - 5810 / Fax : 613 - 283 - 2884

email: info@rideaufriends.com