Thyroid Foundation of Canada
Membership Form

Awareness - Support - Research

YES! I WILL JOIN THE THYROID FOUNDATION OF CANADA!


Thank you for choosing to support the Thyroid Foundation of Canada by joining or renewing your membership. Your membership helps us to continue our programs of Awareness, Support, and Research.

Members receive Thyrobulletin, TFC's official newsletter.

Please choose one:

PERSONAL INFO (as it will show on your receipt)

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MEMBERSHIP:

Members receive Thyrobulletin, TFC's official newsletter, and have access to our Juste for Members area of the website.

MEMBERSHIP LEVEL: One Year:
Two Year:

DONATION:

Add a Donation: All donations support the work of the Thyroid Foundation of Canada

CAD

OTHER PURCHASES:

Payments other than Membership and Donations (No official tax receipt)

$

RECEIPT:

An official receipt for income tax purposes will be issued for all membership fees and donations. (BN: 11926 4422 RR0001)

Please choose your preferred receipt type:


PAYMENT:

We are the Face & Voice of Thyroid Patients in Canada
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Thyroid Foundation of Canada
P.O. Box 298
Bath ON K0H 1G0
CANADA

Tel: 1-800-267-8822


An official receipt for income tax purposes will be issued for both membership fees and donations.
(BN: 11926 4422 RR0001)

Thank you for your support.

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