The Buddhist Place

        c/o 588 Stewart St.

        Peterborough, ON K9H
        4C1

General membership: $20.00 annually
Includes notices of events, voting privileges, participation at all meetings, and 
may serve on the board of directors.

Supporting membership: Individuals making regular monthly, quarterly, 
semi-annually or other contributions over and above the annual general 
membership fee. Tax receipts will be issued for contributions over and above 
the $20.00 membership fee. Same privileges as general members.


0  $20.00 General Member 

0  Supporting Member making regular contributions of 
    $_________ monthly, quarterly or semi-annually

0  $ _________ Donation    (Tax receipts will be issued at the end of the year.)


Name . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 

Tel # . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Street .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

City . . . . . . . . . . . . . . . . . .  . . . . . Prov. . . . . . Postal Code . . . . . . . . . . . 

Email  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 


I authorize the Buddhist Place to share my contact information with other 
members of this group but understand that it will not be released 
to other groups or individuals.


Signature . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Date . . . . . . . . . . . . 

Tax receipts will be issued at the end of the year.