Membership Application

Asterisk * denotes required field

*I would like to:
enroll as a member
renew my membership

*Annual Fees

Student Membership	$5.00
Individual Membership	$20.00
Family/Dual Membership	$30.00
Supporting Membership	$100.00

Donation

In addition to my membership fee, I am enclosing a donation of
$ to support the programs of Victoria University Library. (An official tax receipt will be issued for your donation.)

*Payment Method

Online (Credit Card or PayPal)
Cheque

Contact Information

*Name
*Address
*Country	Province/State
*City	Postal Code (M5S 1K7)
Home Phone (416 585 4471)
*E-Mail

I wish to be contacted about volunteer opportunities.