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)
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:________________________________________________________