SHAPE Online Membership Form
Name
:
E-mail
:
City
:
Country
:
Annual Contribution
(EC Dollars)
:
Associate $10
Individual $50
NGO & Small Business $150
Corporate $250
Payment Method
:
Drop off cheque at our office
Other
Please assist with further data collection by checking off which boxes apply
:
I support the designation of buildings and sites as PROTECTED Heritage Sites.
I support the establishment of a Heritage District in Roseau and other villages.
I would like to receive newsletters & announcements from SHAPE
I am available to contribute time towards SHAPE's various activities.
If available to contribute time, please indicate preference:
I prefer:
Office-based type of work such as online research, newsletter writing &/or
Public awareness
Merchandise sales
Comments
:
Enter the following
validation code:
cica