Membership Application

Please complete the form below and click on "submit" at the bottom of the page.

Membership Details
* membership prices are GST exempt

general	free
sustaining student member	$25
sustaining member	$50
organizational	$200
patron:
bronze	$250	$
silver	$350	$
gold	$500	$


Do you wish to be included on the OADD mailing list to receive occasional announcements?	(Note: OADD does not share or distribute its mailing list.) Yes, please send me OADD announcements. No, I do not wish to receive news from the OADD mailing list.
Do you wish to have your email address posted on the OADD website?	Yes, please post my email address on the OADD website. (not available to General members) No, I do not want to have my email address posted on the OADD website.
Contact information
(the fields with * are mandatory)

	Mr MrsMsDr
first name*
last name*
occupation
organization/employer
street address*

city*
province
postal /zip code*
country (if outside Canada)

	Please indicate if this is your work or your home address:
	Work Home

phone
fax

email*

website address for our links page



Thank you and Welcome to OADD!