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Did you, or are you now
fighting to stop a pit in
your area?
Valley Voices Residents Association,
3316 Shelter Valley Road,
Grafton, ON
K0K 2G0
905-344-7578, info@valleyvoices.ca,
http://www.valleyvoices.ca
Membership Application
I/We apply for membership in Valley Voices Residents Association
(Members must be admitted to membership by the Board of Valley Voices)
Individuals $25. - Family $50
Name(s):__________________________________________________
Address:_________________________________________________________
Mailing Address: (if different from the above)________________________________________________
Lot and Concession #: (If known)___________________________________________
Telephone:
Home:_________________________
Business:___________________________
Fax:______________________________
Email address: (for Valley Voices use only)_________________________________________
I/We would like to volunteer to help with:
Fundraising _______
Communications ______
Events
(e.g.: Mailings, Deliveries, Phoning, Writing) ______
Date: __________________________
Signature(s): ____________________________________
________________________________________October 06