PFPC MEMBERSHIP APPLICATION

Membership Fees are $20.00 per year per person ($25.00 per couple) for the newsletter. Please make cheques payable to PFPC.

Please print this form and return it with your payment to:

PFPC
P.O. Box, 876, Station "B",
Ottawa, ON, K1P 5P9,
Canada

NOTE: You are eligible to vote (for directors and other matters) on beginning your second year of membership


Name:

2nd Name: (if applic.)

Address:

City:

Province:

Postal Code:

Phone:

E-Mail:

Signature:

Date:

OPTIONAL INFORMATION (Confidential)

Your year of birth:

Gender:

Would you like to be put in touch with other members, Pagans or groups in your area?
YES :                                     NO:

Are you willing to have your name or email address given to others people in your area?
YES :                                     NO:

Do you have any time or skills you can offer to the PFPC?

 

Do you follow a particular type of Paganism – if so, what?

 

Are you a solitary or member of a group?
YES :                                     NO:

Do you help run a group?
YES :                                     NO:

Is your group open to new members?
YES :                                     NO:

Is there any other information about yourself and your Pagan activities that you would like to offer?

 

Is there any additional information you would like from the PFPC?