Membership Form
We invite you to become a member of
The Friends of the Merril Collection of Science Fiction, Speculation and Fantasy.
If you would like to become a member of the Friends of the Merril Collection, please
print this page, fill it in, and mail it along with a cheque of money order for the
appropriate amount to:
The Friends of the Merril Collection
c/o The Lillian H. Smith Branch
Toronto Public Library
239 College Street, 3rd Floor
Toronto, ON M5T 1R5
Canada
I wish to become a member of The Friends of the Merril Collection. I have
enclosed a cheque or money order (payable to “The Friends of the Merril
Collection”) for a one-year membership, as indicated.
(Please note that all prices are in Canadian funds.)
____ Individual $35.00 per year.
____ Student (under 18) $15.00 per year.
____ Institution $37.50 per year.
This is a:
____ Membership Renewal.
____ New Membership.
| Name: |
________________________________________ |
| Address: |
________________________________________ |
| ________________________________________ |
| Province: |
______________________________ |
| Postal Code: |
______________________________ |
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| Telephone: |
____________________ |
| Fax: |
____________________ |
| E-mail: |
____________________ |
____ In addition to my membership fee, I would like to make a contribution to the
Friends. I understand that my contribution will go towards funding the Friends’
activities. (Receipts for income tax purposes are now available through the Toronto Public
Library Foundation. Please contact The Merril Collection for further information.)
$__________________
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