"The Wisdom of Dr. Mary Thomas" is available from Ruth Thomas at 250-832-7064






If you are at all interested in helping finance Mary's dream of The Shuswap Centre, please fill out the form below. Simply print the page, fill it in with a pen (if you haven't filled it in on the screen) and mail it to us. We would be delighted to have you join us.




$120 or more/year
SUSTAINING MEMBERSHIP
$40 or more/year
FAMILY MEMBERSHIP
$20 or more/year
INDIVIDUAL MEMBERSHIP
Cheque Enclosed
Please make payable to the Switzmalph Cultural Society.
Please debit my account monthly for the amount of ____________.
 I have enclosed a blank cheque marked VOID and authorize the Switzmalph Cultural Society to debit my account.
  Please execute my monthly payment transaction on the:
15th of each month
30th/31st of each month

I understand that I may cancel this authorization at any time with written notice to the Switzmalph Cultural Society and that such notice shall not have effect on debits made prior to the cancellation.

________________________________________
Signature
  Please indicate your interest in the following:
I would like to be a Switzmalph Volunteer.
I would also like to contribute to the construction of the Shuswap Centre - please contact me.
Name:
Address:
City:
Postal Code:
Phone:
Email:


Thanks for filling out this form. Now click on the PRINT button at the top of your browser window, sign your name in the appropriate places and mail the form to:

The Switzmalph Cultural Society

3281 1st Ave. S.W.
Salmon Arm, B.C. V1E 2Y9

Our telephone is:
250-832-7574

Our email address is:
theshuswapcentre



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