YES, I WANT TO HELP TIBET !
PRINT FORM

I want to become a member of the CTC:

Lifetime Membership until Tibet is free $500
Single annual membership $25
Family annual membership $35
Student/Senior annual membership $10

AND/OR

I want to make a donation:
I am enclosing a donation of $20 $50 $100 others _______
Name: _____________________________________________
Address: _____________________________________________
_____________________________________________
Postal Code: ____________________
Phone no.: ( _____ ) ____________
Email: ____________________

Please send the above form along with your cheque/money order to:

Canada Tibet Committee
300, Léo-Pariseau
Bureau 2250
Montréal QC H2X 4B3