... Building
a world community
2015 Membership Renewal
Name: ________________________________________________
Membership category:
Contributor $200
Household $90
Individual $60
Limited Income $15
I can provide additional support for this vital work, and am donating $____________ over and above
my annual dues.
I prefer to renew my membership by
cheque or
VISA
MasterCard
AMEX
Card No._____________________________________ Exp: ____ /_____
Signature____________________________________
Date:_______________
Your membership support renewal can be made payable to:
World Federalist Foundation (tax receipt provided)
World Federalist Movement – Canada (no tax receipt provided; a portion of funds are dedicated
to political advocacy)
Become a monthly donor
You can authorize WFM - Canada to make automatic monthly deductions from your bank account or
credit card. You can change or cancel your monthly plan donations any time, by phone, fax or email.
Choose:
WFM – Canada or
World Federalist Foundation (tax receipt provided at year end)
Your gift: $_____ per month
Name_____________________________________________
Signature________________________________
Date_______________________
Please include an unsigned blank cheque marked VOID along with this form, or provide credit card
information.
VISA
MasterCard
AMEX
Card No._________________________________
Exp: ____ /_____
Return form to: World Federalist Movement - Canada, 110-323 Chapel St, Ottawa ON K1N 7Z2
If you prefer to renew your membership online, please visit worldfederalistscanada.org/renew.html
Questions for all World Federalist supporters
The information you provide will be treated as confidential.
1) Please provide an email address and/or phone number that we may use to contact you:
EMAIL: ___________________________________________________________________
TELEPHONE:_______________________________
2) Routine correspondence. WFMC presently sends acknowledgement letters and tax receipts by
regular mail. Would you prefer to receive acknowledgement letters and tax receipts by email and
attached pdf?
Yes
No
3) E-News and TakeAction. WFMC sends, by email, a newsletter and TakeAction alert each month.
Do you presently receive the WFMC E-News?
Yes
No
Would prefer not
Do you presently receive the WFMC TakeAction e-bulletins?
Yes
No
Would prefer not
4) Mondial. Published twice yearly, Mondial is a 16-page bulletin providing analysis and opinion on
important global governance issues. Members can choose to receive Mondial by mail or email.
Would you prefer to receive Mondial:
By regular mail, in printed hard copy
By email
5) A growing World Federalist organization. Most people who support member-based organizations
like the World Federalists join because someone asked them to. Can you help spread the word?
Possible actions include contacting people you know; helping distribute WFMC literature; suggesting
persons who should receive introductory print or email materials from the WFMC office; etc. Can we
arrange for a member of WFMC staff or board of directors to contact you about any of these
possibilities.
No thanks, I’d rather not;
I’m not sure; please give me a little more information;
Yes, I’m willing to help.
6) Ways of giving. The World Federalists receive no ongoing support from government, but relies on
memberships and donations from supporters across Canada. There are many ways of giving to
charitable causes like the World Federalists, ranging from one-time or monthly donations to gifts of
stock, equities or insurance, or structured gifts, such as annuities as well as legacy gifts and
bequests.
I would like to receive additional information on the different ways of supporting
the World Federalists.
I would not like to receive additional information on the different ways of
supporting the World Federalists.