All memberships require Board approval. If you would like to apply for
membership, just print out this form, fill it in and mail it along with your payment to:

Community Living Society
Memberships
300 - 5945 Kathleen Avenue
Burnaby, B.C. V5H 4J7

Upon approval, you will receive a Membership card, receipt, annual
report and a copy of the CLS monthly newsletter "CLS Communicator".

Application for Membership

Name_______________________________ Date _____________

Address _________________________________________

City/Prov_______________________

Postal Code_____________________

Phone (work) __________________ (home) ___________________

Organization (if non-voting membership)
______________________________________

Please select the type of membership you are applying for:

(Please note: If you are an organization, employee of the Society, employee of a
government agency, or a crown corporation whose duties are concerned with the
affairs of the Society, as outlined in the Society's By-Laws, you would apply
for a non-voting membership.)