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MEMBERSHIP APPLICATION To join as a member of the Planning & Design Centre, please return this form via mail to 5257 Morris Street, Halifax, NS, B3J 1B6. You can also join by calling 902.494.8494 Name __________________________________________________________ Address _________________________________________________________ Home Phone ________________________ Work Phone __________________ E-mail __________________________________________________________ I would like to join the Planning and Design Centre for 3 years at the following level: INDIVIDUAL



$500 - $999


$50 - $499

I would like to include an additional gift of $_______________________

I would like to pay with cash.

My check payable to the Halifax Community Planning & Design Association for $______________ is enclosed.

Signature _________________________________ Date ____________ Thank you for your support!


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