Membership RENEWAL Form

Please call our office if you have any questions about your previous membership details.

Name

First Name

Last Name

Email

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Year of prior membership

Type of Membership

Method of Payment

The most preferrable method of payment is by e-transfer For cheque, mail cheque to: Dharma Centre of Canada 1267 Galway Rd. Kinmount, On K0M 2A0

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Additional Notes