YES, I want to play an active role in the London Cross Cultural Learner Centre's FUTURE:

I want to share my skills as a volunteer
I want to become a member

__ Institutional ($70)            __ Individual ($25)

__ $25

__ $30

__ $30

__ $100

__ $200

__ $Other

*Monthly contributions through automatic withdrawals from your bank (please send first cheque and one void cheque).

*Please make cheques payable to: Cross Cultural Learner Centre

*Mail to:

505 Dundas Street

London, Ont. N6B 1W4

*Charitable tax receipts will be issued for memberships and donations over $100.

*Please print out this form and fill in the blank. We appreciate your kind donation.