Cancer Support Services | Membership Form

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	The Cancer Support Services Membership
	Cancer Support Services is always pleased to have new members. CSS meets on the fourth Saturday of each month at Queen's College Secondary School, Husbands St. James at 4:00p.m. You are more than welcome to come to any of our meetings. How to Join: To participate in our programmes as a volunteer, you can join as one of the following: General Member membership fee of BDS $30.00 annually Life Member membership fee of BDS $400.00 Corporate Member membership fee of BDS $500.00 annually Use our membership form and mail it along with a cheque payable to "Cancer Support Services" to: Cancer Support Services "Camden", Barbaree's Hill, St. Michael Barbados

	How to use our membership form
	To generate a printer-friendly version of your application, simply fill out the form below and click on Submit. A new window will appear containing the completed form which you can then print.

Our Membership Form

Salutation

Mr. Mrs. Miss

First Name

Last Name

Address

Telephone

[ home ]
[ work ]

Company

Occupation

Reasons
for interest

(tick all that apply)

Membership Plan
(choose one)

General (BDS $30.00/year)
Life (BDS $400.00)
Coperate (BDS $500.00/year)