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Toronto Association of Visual Language Interpreters Membership Application Form 1999/2000

With cheque enclosed mail to:

Toronto Association of Visual Language Interpreters
668 Mortimer Ave
Toronto, Ontario
M4C 2J8

Name:

Address:

Postal Code:

Phone Number (V/TTY):

Fax Number:

Email Address:

Membership Status

TAVLI

Active: $ 25.00 Supporting: $10.00

AVLIC

Active: $ 225.00 Supporting:$50.00

Total:

Date:

Signature: