If you would like to become a member of the Cowichan Community Land Trust Society, and/or would like to make a donation, please fill out this online form, which will then be sent by email to us. You can then send along a cheque or money order to the address below. Charitable Tax receipts are issued for all donations.

We greatly appreciate your support!

Our Charitable Registration Number is 1042654-52

For a printable version of this form, click here.

Name: *

Address: *

City: *

Province/State: *

Postal Code/Zip Code: *

Country: *

Email:

Telephone:

Your Interests:

Memberships: *

$5.00/year for people younger than 19

$20.00/year for adults and families

$20.00 to $100.00/year for other non-profit organizations

$100.00/year for businesses (members will be recognized in our newsletters and at our AGM)

$1000.00/year to be a Sponsor (Sponsors' names and/or logos will appear on our literature and be posted at our office)

Payment Method: *

Cheque

Money Order

Online Credit Card

Please make cheque or money order payable to:
"Cowichan Community Land Trust Society"
MAILING ADDRESS:
Cowichan Community Land Trust Society
#6 - 55 Station Street
Duncan, British Columbia, Canada
V9L 1M2

CAPTCHA

This question is for testing whether you are a human visitor and to prevent automated spam submissions.

What code is in the image?: *

Enter the characters (without spaces) shown in the image.