Membership Registration Form

The Alberta Housing Coalition will work towards ensuring that all Albertans will have appropriate, safe, affordable housing.

For more info, please contact:
Alberta Housing Coalition,
Tel:

You will receive your confirmation of registration via email. Please submit a copy of this confirmation, along with your payment to:

Alberta Housing Coalition

,

Thank you!

Membership Registration Form
Yes, I support the Alberta Housing Coalition and want to become a member!
Organization*
Address*
City/Prov/Post*
Phone/Fax:

Voting Member		Fee
Name* Email*
Auxiliary Members ($10 ea.)
Name: Email:
Name: Email:
Name: Email:
Name: Email:
TOTAL DUE:

Payment Method
Cheque	Include cheque payable to Alberta Housing Coalition

Please sign and mail a copy of this completed form, along with your payment to:
	Alberta Housing Coalition Membership Registration C/O ,