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  YES! I would like to Support Socially Responsible Investment in Canada 

   To make it easy, you can fill this form out on-line or print and mail/fax this form back
   to us with your cheque or credit card.

Last name / Nom:   

First name/ Prénom :   

Company/Association /  
entreprise ou association :   

Daytime Tel. Number / Téléphone (jour):   

Alternate Tel Number /   
Autre numéro pour vous joindre :   

Address/ Adresse:   

City/ ville:   

Prov/state  / Province/état:   

Postal code/ Code postale:   

Email address/ courriel:   

Fax/ télécopieur:   

 
Professional Membership $350.00  
Organizational Membership $300.00  
No GST is payable/  
TPS non applicable  
 

 

Please return to:
Social Investment Organization
184 Pearl Street, Suite 201B
Toronto, ON  M5H 1L5
tel:(416) 461-6042 
fax: (416) 461-2481 
info@socialinvestment.ca

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