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 _____ 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 Defense Fund Donations $______________
Please make cheques payable to The Annex Residents’ Association
For further information visit: www.theara.org or call the ARA hotline 416-926-9261