Peterborough and District Labour Council

Standing up for Working People
In our workplaces and our community

Application for Affiliation

Date:________________________________ Name of Organization:____________________________________________________

Address:_________________________________________________________________

City/Prov/Postal Code:___________________________________________________


The above named organization hereby makes application to be accepted into affiliation with the Peterborough and District Labour Council, P.O. Box 1928 Peterborough, Ontario K9J 7X7

Total membership of the applicant organization:__________________________________________________

It is understood that when this applicaiton is received and approved by the Labour Council, the applicant will be informed as to the entitled number of delegates and will be supplied with delegate credential and per capita tax forms.

Signed on behalf of


_______________________________________________________________
(Name of Organization)


_______________________________________________________________
(Signature of President)

President:  ____________________________________________________ Vice President:_______________________________________________

Recording Secretary:__________________________________________ Financial Secretary:__________________________________________

All correspondence for this organization to be sent to:


Name of Organization:____________________________________________________

Address:_________________________________________________________________ City/Prov/Postal

Code:___________________________________________________ Phone / Fax Numbers:_____________________________________________________

Website / E-mail:________________________________________________________