To become a member please print and complete this form and mail to Smiles Foundation along with membership fees.


Membership  ($100)

Membership Form

SMILES FOUNDATION

Name: _____________________________________________________________________________ Address: ____________________________________________________________________________ City: _____________________________________________________________________________ Province/Region: ____________ Postal Code: _________ Country: _______________ Phone Number: ________________________ E-mail:_______________________________ Website: ____________________________________________________________________ Cheque enclosed in the amount of: ________________ made payable to Smiles Foundation

Please send me additional information.

Please send me a video ($20)

Please contact me at the address above to discuss planned giving

I want to volunteer, please send me information

Thank you for supporting Smiles 
Foundation

 
         As a member of Smiles Foundation, you will be entitled to:
    • A free subscription to our semi annual Newsletter to keep you up-to date on the changes your gifts are bringing.
    • Invitation to attend social events at special rate for members.
    • A certificate suitable for framing that may be displayed in your office.
    • An entry in our database of members. You can post your name and contact information (up to 200 characters). If you have a website, we can offer you a link.