CANADIAN GRAIN ELEVATOR DISCOVERY CENTRE
MEMBERSHIP APPLICATION FORM 2013
DATE______________
NAME________________________________________________________________________
ADDRESS____________________________________________________________________
TOWN/CITY____________________________________POSTAL CODE___________
PHONE______________________________________________________________________
EMAIL_______________________________________________________________________
A membership gives you unlimited tours of the Elevator
Please tick the appropriate boxes
( ) Individual membership 1 yr----------------- $20.00
( ) Family membership 1 yr---------------------$40.00
( ) Rail Tie donor 1yr ---------------------------- $50.00
( ) Grain Sheaf donor 2 yr --------------------$100.00
( ) Grain Stook donor 3 yr--------------------- $300.00
( ) Lifetime donor -------------------------------$500.00
( ) Donation ------------------------------ ________
Total ________
( ) I would like a receipt for tax purposes
Receipts issued for donations only ($20. or $40 Memberships
do not qualify with Revenue Canada for a tax receipt.)
THANK YOU FOR YOUR SUPPORT!!
Please make payment payable to:
CANADIAN GRAIN ELEVATOR DISCOVERY CENTRE
Box 1402 Nanton Alberta T0L 1R0
Mail in or drop off membership at the elevator.
Please note that if your membership is not paid by July 1, 2013 it will be cancelled
Canadian Grain Elevator Discovery Centre
Telephone: 403-646-1146
www.canadiangrainelevatordiscoverycentre.com
info@nantonelevators.com
Canadian Grain Elevator Discovery Centre
