CAC Manitoba- Membership Application Form

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Membership Application Form
By filling out this form you agree to send a tax deductible donation to CAC for $25 to this address:

Consumers Association of Canada, Manitoba Branch
21-222 Osborne Street South
Winnipeg, MB
R3L 1Z3

If, after a week, we do not recieve your check, we will contact you.

First Name:

Last Name:

Address:

City:

Province:

Postal Code:

Phone #:

Email:

I want to Volunteer for CAC Manitoba: Yes No

Volunteer Position:

InfoCentre:

	Product Information Service
	Consumer Info
	Price Surveying
	Data Entry

CAC Outreach Program

Committe Work: