CCLA - Join Us

Canadian Civil Liberties Education Trust (CCLET)

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Application Form:

Here are my tax-receiptable donation to the CCLET to assist
__ its work in public education and research.

$50 $75 $100 $250 $500
Other
cheque or money order enclosed (Please make cheque payable to CCLA)
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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.

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Signature ________________________

Reciepts will be issued by the Canadian Civil Liberties Education Trust (Charitable registration number 0338681-21-C) for amounts of $15 or more.

Please print out the application form and mail it with your payment to:

Canadian Civil Liberties Association 394 Bloor Street West, Suite 200 Toronto, Ontario M5S 1X4

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