Canadian Membership Form

An Comunn Gàidhealach Ameireaganach (ACGA) accepts Canadian membership dues at par with American membership rates in Canadian dollars.

If you would like to become a member of ACGA, please print this form and send your cheque, in Canadian funds to:

ACGA
43 Norbrook Crescent
Toronto ON M9V 4P7
Canada

If a resident of the United States, or elsewhere in the world, please go here.

Membership fees should be made payable to "Toronto Gaelic Learners Association".

In order to simplify administration, ACGA has adopted a common renewal date. Memberships will now run from January 1 to December 31. New members will pay a prorated amount based on the date of their joining ACGA until January 1 of the following year when all memberships will become due at the full rate.

Please select the appropriare membership option listed below.

Individual Membership

January 1 2010 - December 31 2010 - $35     _______

Family Membership

January 1 2010 - December 31 2010 - $45     _______

Club Membership

January 1 - December 31 - $50                       _______

Corporate Membership

January 1 - December 31 - $100                     _______

Contribution (optional)                    _____

Total                                               $_____

( ) I am a new ACGA member    ( ) I am a renewing ACGA member

Name: _____________________________________________________

Street: _____________________________________________________

City: _______________________________________________________

Province: ____________________   Postal code: _____________

Country: ________________   Telephone: (_____) ______ – ___________

E-mail address: _______________________________________________ (Important -- we use this to communicate)

My current Gaelic language level is (check one):

( ) Beginner   ( ) Advanced Beginner   ( ) Intermediate

( ) Advanced Student   ( ) Fluent   ( ) Native Speaker

If advanced, would you be willing to teach or lead a study group? ___________

Would you be willing to host or help with local activities? ____________

Where specifically did you hear about ACGA (name of magazine, online,name of highland games etc.) ___________________________________

(ACGA Internet Application)