Canadian Membership Application
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.
New Members
January 1 2008 - December 31 2008 - $35 ______ (single)
January 1 2008 - December 31 2008 - $45 ______ (family)
April 1 2008 - December 31 2008 - $27.00 ______ (single)
April 1 2008 - December 31 2008 - $33.00 ______ (family)
July 1 2008 - December 31 2008 - $18.00 ______ (single)
July 1 2008 - December 31 2008 - $22.00 ______ (family)
October 1 2008 - December 31 2008 - $9.00 ______ (single)
October 1 2008 - December 31 2008 - $11.00 _______(family)
Renewing Members
January 1 2008 - December 31 2008 - $25 ______ (single)
January 1 2008 - December 31 2008 - $35 ______ (family)
April 1 2008 - December 31 2008 - $18.00 ______ (single)
April 1 2008 - December 31 2008 - $27.00 ______ (family)
July 1 2008 - December 31 2008 - $12.00 ______ (single)
July 1 2008 - December 31 2008 - $18.00 ______ (family)
October 1 2008 - December 31 2008 - $6.00 ______ (single)
October 1 2008 - December 31 2008 - $9.00 ______ (family)
Clubs
January 1 - December 31 - $50 ______
Corporate
January 1 - December 31 - $100 ______
Contribution
______
Total
$_______
( ) I am a new ACGA member ( ) I am a renewing ACGA member
Name: _____________________________________________________
Street: _____________________________________________________
City: _______________________________________________________
Province: ____________________ Postal code: _____________
Country: ________________ Telephone: (_____) ______ – ___________
E-mail address: _______________________________________________
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)

