Membership Application

How to submit your membership application

You can submit an online application form by filling out the digital form below and email money transfer your payment to ccc.membership17@gmail.com
Or, you can download, print and fill out the application form and mail it to
Membership Secretary, Canadian Chestnut Council
c/o Jeff Leader, 18 Forbes St., Glen Morris, ON N0B 1W0

First Name

Last Name

E-mail

Phone Number

Address

City

Interested in receiving correspondence by e-mail

Yes No Thank You

Occupation (optional) and other interest groups

Payment Information

Membership

1 Year $35.00

Donation (Optional)

DONATION LEVELS:
Diamond Leaf-Patron-$10,000 plus
Platinum Leaf-Benefactor-$5,000 to $9,999
Gold Leaf – Sustainer-$1,000 to $4,999
Silver Leaf-Sponsor- $500-$999
Bronze Leaf –Supporter-$250-$499
Green Leaf-Champion-$100-$249
White Leaf –Fan-up to $99

Total Payment

Thank you for your interest. A member of the CCC will contact you about volunteering.

A receipt will be issued for tax purposes Thank you for your support.

Please send your e-transfer payment to ccc.membership17@gmail.com.

Membership Application

How to submit your membership application

Payment Information

Extras

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