Membership Registration Form

Please call our office if you have questions about becoming a member of the Dharma Centre of Canada.

Name

First Name

Last Name

Sponsor's Name

We require an existing Dharma Centre of Canada Member to sponsor any new membership.

First Name

Last Name

Email

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Additional Notes

Type of Membership

Method of Payment

The most preferrable method of payment is by e-transfer For cheque, mail cheque to: Dharma Centre of Canada 1267 Galway Rd. Kinmount, On K0M 2A0

I give consent to opt in to the Dharma Centre of Canada email list

Sign me up!

I would like to receive prayers request emails

Yes

No