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Shield Membership Application
Sheen for She Foundation
Canadian Non-Profit Corporation #1076618-6
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Title
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Full Name
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Date of Birth
This is optional; however, if you would like to receive a special message and/or mention from the foundation, please fill it in.
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YYYY
Address
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Apt No.
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City
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Province
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Postal Code
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Home Telephone
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Business/Cell
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E-mail
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Membership
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New Member
Renewing Member
Types of Sheild Memberships
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Please select your preference of membership.
Regular Shield Member ($30/month)
Senior Shield Membership (65 and over, $20/month)
Corporate Shield Membership ($100/month)
In addition to my membership fees, please accept my donation of:
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Payment Information
You can also make a payment by calling the Sheen for She Foundation at (437) 997 - 4336 or emailing
invest@sheenforshefoundation.com
.
Card Type
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VISA/MC card #
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Security code #
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Expiry date
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I would like to receive the monthly highlights newsletter
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By selecting "yes," you agree to receive emails about updates, events, and new from the Sheen for She Foundation.
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