Membership in Electronic Frontier Canada

To apply for membership in Electronic Frontier Canada, fill in and submit the following form.

(Please use the plain text membership form if your web browser doesn't support forms.)

Then mail your donation to:
Electronic Frontier Canada
attn: Jeffrey Shallit, Treasurer
20 Richmond Avenue
Kitchener, Ontario N2G 1Y9
Canada
I wish to become a member of Electronic Frontier Canada.
I am sending:
Regular membership -- $40
Student membership -- $20 (includes Senior Citizens)
I wish to make an additional donation in the amount of $ to further support the activities of EFC and to broaden participation in the organization.

I realize this donation is not tax-deductible.

Please make your cheque or money order payable to: "Electronic Frontier Canada, Inc."

This donation will be used to pay for communications costs, legal fees, the organization of special symposia, and other costs related to the aims of EFC.

Your Contact Information

Name:

Organization:

Address:

E-mail address:

Web site:

Phone:

Fax:

I have access to these Internet resources (check all that apply):
email
usenet news
ftp
gopher
web
pgp

Your Background (optional)

(If you don't mind, we'd like to know a bit more about you.
If you'd rather not answer, just leave it blank.)

Sex: male or female
Date of Birth: mm/dd/yy

Education:

Occupation:

I use the following kinds of computers:
Mac
PC
Unix workstation
other

I have used computers for years.

I have used the Internet (or something like Compuserve) for years.

I have the following expertise I'd like EFC to know about:

Privacy Policy

EFC may occasionally share our mailing list with other organizations promoting similar goals. However, we respect an individual's right to privacy and will not distribute your name without explicit permission.
I grant permission ... I do not grant permission ...
for EFC to distribute my name and contact information to organizations sharing similar goals.

This form came from the EFC web page, accessible on the World Wide Web using:
http://insight.mcmaster.ca/org/efc/pages/efc-member-form.html
If you found it elsewhere, please tell us where so we see how far it goes.

(form last updated: 18dec96)