Canadian Civil Liberties Association (CCLA)
Application Form:
Here are my membership dues __(minimum annual membership dues $50)
$50 $75 $100 $250 $500 Other cheque or money order enclosed (Please make cheque payable to CCLA) Visa - card number Expiry Signature ________________________
cheque or money order enclosed (Please make cheque payable to CCLA)
Visa - card number Expiry Signature ________________________
I want to assist CCLA with a pre-authorized monthly gift of
$10 $15 $25 $50 Other
My VISA account will be debited with the amount indicated each month. I can change or cancel this contribution at any time.
Do you have any comments or suggestions regarding this website?