SC-CC Membership Registration Form
You may also use this form to submit information updates.
Instead of "yes" or "no", simply type "info" in the box that asks "Is this a renewal?"
Please be sure to fill in the information
typed in red
or we may not be able to identify you.
Is this a renewal?
Today's Date
Term of membership is one calendar year from date you join or previous renewal date
Your Name:
Your Address:
City:
Province:
Postal Code:
Home Telephone:
Work Telephone:
FAX:
Email:
Biography for internal "members only" directory - maximum 25 words
Biography for public on-line website directory - maximum 75 words
Language:
English
French
Other (please specify):
Audience/s:
Adult
Young Adult
Children
Workshops:
Adult
Young Adult
Children
Travel:
Willing to Travel
For "members' only" directory:
House Concert Hosting
Will billet travelling tellers
Please enter in the "comments" section below any information which you wish excluded from either the public website and/or the internal directory
Comments:
We are not able to process payments on line. When you click the "Submit" button below, your information will be forwarded automatically by email to the webmaster, treasurer and membership secretary for inclusion on the website as soon as possible. Send your check made payable to SC-CC to the address below. A receipt will be sent to you by mail.Should you wish to keep a copy for your records, use your browser's "Print" function before clicking the "Submit" button.
Membership Fee
$65 - Individual/Organization
$45 - If you already receive Appleseed
Optional Donations
I would like to help another storyteller become a member Amount:
I would like to help the StorySave CD project Amount:
Total amount of check:
Send your check to:
Storytellers of Canada/Conteurs du Canada
P.O. Box 25
Corner Brook A2H 6C3