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Women's History Network of British Columbia, Canada

     Membership Form

Name:
Address:
City: Province/State:
Postal Code/Zip Code: Country:
E-mail Address:  
Phone/Fax Numbers:  
Signature: Date:

 Please let us know your specialization or areas of interest in women's history:

 

 

Would you be interested in receiving our newsletter electronically?      Yes ____  No ____

Would you be interested in being listed in future WHN/BC directories? Yes ____  No ____

Is this a new membership or a renewal?                                                           Yes____  No ____

Membership in WHN/BC is $25 a year (January to December) & $10 a year for students.

To join, please send a cheque payable to WHN/BC, c/o 13325 Prospect Drive,  Ladysmith, B.C., Canada V9G 1G9.  

Personal information is collected by WHN/BC under the authority of British Columbia's  Personal Information Protection Act and will be shared with the Board of Directors and other members for contact purposes and information exchange.  For more information, please contact us at whnbc@shaw.ca  or Unit 402-9603 Manchester Drive, Burnaby, B.C., Canada  V3N 4Y7.                   

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