Affiliate Membership Application

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This form is for Humanist-focused organizations that would like to affiliate with Humanist Canada. As a national organization, we strive to support other’s efforts in promoting Humanist initiatives. We look forward to welcoming you. If you are looking for an individual membership, please click the button on the right.

Membership Level:

Affiliate Membership

Affiliate Name: Contact First Name: Contact Last Name: Title / Role in Affiliate: Email: Your Phone: Your Address: City: Prov: Postal Code: -

Please consider adding a donation to your membership: $25
$50
$75
$100
Other Amount: :