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MEMBERSHIP APPLICATION

There is a one time registration fee of $10 and your first annual membership fee of $25. Payments are to be sent by e-transfer to president@maltonbda.com.

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Prefix
First Name
MI
Last Name
Home Address
City
Province
Postal Code
Primary Telephone No.
Primary Language Spoken
Areas of Interest
Committee to Join:

Please note to become a member there is a registration fee of $10.00 and annual dues are $25.  These are subject to change.


Thank you for your interest in joining the Malton Black Development Association. Our Membership Director will review your application and get back to you.  If you have any questions in the interim please feel free to contact the membership director at (905) 677-0551 or membership@maltonbda.com. 


Important Notice

Privacy Statement:


Personal information is collected under the statutory authority of the Occupational Health and Safety Act. Personal information on this form will be used to determine suitability for volunteer initial and on-going placements, as well as program evaluation and assessment. Questions about the collection and use of personal information should be forwarded to maltonblack@maltonbda.com.

Declaration


Please read carefully before checking off this box:


By checking this box I hereby certify that all of the information that I have provided in this application is accurate and true and I understand that any false or misleading statements or deliberate omissions made by me on this application or during the volunteer recruitment and selection process may be sufficient cause for the cancellation of this application and, if I have been placed in a volunteer position, for the immediate termination of my volunteer placement.

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