Becoming a CLS Member

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.)

Voting
___ (Single - $5)

___ (Life Membership $100)

Non-Voting
___ ( Employees or Companies $25)


To assist in supporting the CLS to serve people with disabilities to live

in their own community, please accept my donation of $ ___________.