Membership Registration Form

Name *

First

Last

Email *

Phone Number *

Address *

City *

Province *

Postal Code *

Country *

Which membership would you like to purchase? (See benefits in chart below) *

Member (Regular) • $50
Member (Senior) • $25
Patron • $600 ($250 tax receipt)
Benefactor • $1000 ($650 tax receipt)
Benefactor+ • $2000 ($1,350 tax receipt)

We acknowledge our Patrons, Benefactors & Benefactors+ in our print programs and on our website, please let us know how you would like your name(s) to appear. If you would like to remain anonymous, please write N/A. *

How would you like to pay for your membership? *

eTransfer to raagmalatorontopayments [at] gmail.com
Mail-in Cheque
Other/Contact me I'm overseas

I consent to be being added to Raag-Mala's mailing list and receiving promotional material via email

Comments or Questions

Raag-Mala Toronto

Membership

Membership Registration Form