PINHEY'S POINT FOUNDATION MEMBERSHIP

Please print this form, fill in your information and mail it with your payment to the Pinhey's Point Foundation.


Name  

Address  

City  

Province  

Postal Code  

E-mail  

For an Individual  $20.00  

For a Family  $25.00  

I wish to make a donation  $


A receipt will be issued for tax purposes. (Charitable reg. no. 11909 3979 RR0001).

Please make cheques payable to Pinhey's Point Foundation
270 Pinhey's Point Road
RR#1
Dunrobin, Ontario K0A 1T0

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