Annex Residents’ Association

Membership Form

Name:___________________________________________________

Address:_________________________________________________

City:________________  Province:_______ Postal Code:___________

Tel Res:    _________________              Tel Bus:________________

e-mail address: (Important) ____________________________

Spouse Name: ___________________________________________

Child(ren) Name(s): ________________________________________

Interests: 

Communications _____ Parks & Trees _____ Planning & Zoning _____

Heritage _____     Annexus _______   Neighbourhood Issues _____ 

Traffic/Parking ____ Membership _______ Fundraising ____

Events __________        Other_______________________

Membership Categories (circle one):   

Individual $ 25 ___  Family  $40 ___ Student $10___ Senior $15 ____

Fanatical  $100 ___  Business $50 ___ Friends of the Annex________

                                                                                                                                         (Donation)

Annex Defence Fund Donations $______________

Please make cheques payable to The Annex Residents’ Association

Mail or drop off to: Nellie Bannayan, ARA Membership Chair

108 Dupont Street, ON   M5R 1V2

Res: 416-975-3810 email: membership@theara.org

For further information visit: www.theara.org or call the ARA hotline 416-926-9261