Braille Literacy Canada | Join or Renew Your Membership

You are signing up for a corporate membership (on behalf of an organization or company). Each corporate member is entitled to nominate two representatives who will receive BLC correspondence, and who will have a vote on matters brought to the BLC membership for approval. Note that the two representatives are not "alternates": each is effectively a member of BLC in their own right. If the representatives' contact information (mailing address, email, etc.) is the same as the administrative contact, you do not need to re-enter it.

Organization Information

Company/Organization: *

Administrative/Billing Contact

First Name: *

Last Name: *

E-mail Address: *

Mailing Address (Line 1): *

Mailing Address (Line 2):

City: *

Province: *

Postal Code: *

Telephone (Home):

Telephone (Cell):

Telephone (Work):

Additional Information

Are you interested in joining one of our committees or would you like to contribute your time? Please indicate how you would like to get involved and we will contact you. Whatever your interest or strength, BLC encourages you to become actively involved in making this an outstanding organization.

Describe your interest in being involved:

Additional comments:

Delegate #1 *

First Name: *

Last Name: *

E-mail Address: *

Telephone (Home):

Telephone (Cell):

Telephone (Work):

Preferred language for correspondence:: *

English

French

Preferred format for mailed materials: *

Braille

Delegate #2 *

First Name: *

Last Name: *

E-mail Address: *

Telephone (Home):

Telephone (Cell):

Telephone (Work):

Preferred language for correspondence:: *

English

French

Preferred format for mailed materials: *

Braille

How do you plan to pay your membership dues? *

Online using my credit card or PayPal account after I submit this membership form

Online by sending an Interac e-Transfer to treasurer@blc-lbc.ca after submitting the membership form

Over the phone using my VISA or MasterCard (please call me)

By mailing a cheque or money order to BLC after submitting the membership form

Please send me a formal invoice

Consents *

I have read and agree to Braille Literacy Canada's Privacy Policy, and confirm that I have the permission and authority to agree to the same on behalf of the above-listed delegates *

I understand that by becoming a corporate member of Braille Literacy Canada, BLC will send the above-listed administrative contact and delegates communications and correspondence by email *