P2Party of Canada
PO Box 671
Barry`s Bay, Ont. K0J 1B0

Telephone:  613 756-7829
Fax:  613 756-9391 
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P2Party (Ontario) Membership  
  Join the Party!  
 
Please fill out this form, then print it and fax or mail to us.
To fit the form on paper, set all margins to .3 inches. Instructions here
If you submit the form by fax, you can pay by credit card or by charge to your chequing account.
Sign Me Up! (check one)       
Regular Member: $20   Youth member (14-17yrs): $5
Low income: Free  
Sustaining Member: please indicate monthly contribution
 
$10     $20,   
Name:  
Address:  
City:  
Postal Code:  
Phone:  
Fax:  
E-mail:  
Please help us reduce correspondence costs: Give us your e-mail address if possible.
Privacy Policy:   We will not release your personal information to anyone
unless compelled by law.

Elections Canada collects membership information from us. Their Privacy Policy can be found here.
Please select your method of payment
Cheque enclosed payable to the Public Participation Party
Charge my chequing account (void cheque enclosed)
Charge my Visa/MC card
    Number:
  Expiry:
    
Signature:_________________________________________
Please provide signature for credit card or pre-authorized cheque payments.
Membership Declaration
I hereby declare that I accept and abide by the principles of the Public
Participation Party.

Signature____________________________________________________
Membership Receipt Please keep a copy of this form for your records.
  We will send you an official receipt by mail.