Individual

Based on the answers you provided, your organization falls into the INDIVIDUAL MEMBERSHIP category and your annual membership fee is $40. If the fee is a barrier please contact Allyson Theodorou, Operations Manager at 1-866-681-6661 ext. 2.

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Name

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Organization Affiliation

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Address

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City

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Province

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Postal Code

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Phone

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Full Name I, apply for membership to the Ontario Peer Development Initiative and indicate my support for its mission, vision and values.

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Section D - Payment Method

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