Become a Member

Please print out this form or download the PDF form and send the completed form to the following address: (Please see below for Payment Information)

By Mail: First Nations Child & Family Caring Society
c/o Suite 401 - 309 Cooper Street
Ottawa ON
K2P 0G5
By Fax: (613) 230-3080
By Email: info@fncaringsociety.com

Yes, I would like to join the First Nations Child & Family Caring Society as a Member under one of the following categories:

Elder Membership ($5)
Individual Membership ($75)
Student Membership with ID ($25)
Small FNCFS Agency Membership: 1 - 50 employees ($350)
Large FNCFS Agency Membership: 50+ employees ($600)
Small Associate Membership: Organizations with 1 - 50 employees ($350)
Large Associate Membership: Organizations with 50+ employees ($600)
 
Last Name:
First Name:
Job Title:
Employer:
Program/Year of Study:
Educational Institution:
Mailing Address:
City: Province:
Postal Code: E-mail:
Phone: Fax:

Payment Information:

Please make cheques or money orders payable in Canadian funds to the First Nations Child & Family Caring Society of Canada Inc. and mail along with this form to:

First Nations Child & Family Caring Society of Canada Inc.
c/o 401 - 309 Cooper Street • Ottawa, Ontario, K2P 0G5 • Phone: (613)230-5885