Become a Member
  1. Name(*)
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  2. Address(*)
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  3. Telephone
    Please enter phone number in format ###-###-####
  4. Fax
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  5. Email Address
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  6. Name of family member or friend served by TCE
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  7. Add $1.00 per associate member. List their names below.
  8. Please list them like this, one per line:
    Name, full address, postal and email address

  9. Associate Members
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  10. The information collected on this form will be kept in a secure and confidential membership database. TCE will not share this information without your permission.

    I agree that the above data may be kept in a secure database and accessed for the purpose of circulating information (mail-outs, notice of meetings and activities) from TCE.

  11. (*)
    This is a required field. Please specify Yes or No.
  12. I agree that TCE may share this contact information with the Family Support Network (ONLY) - to be used for announcing events, seeking volunteers, sharing information?
  13. (*)
    This is a required field. Please specify Yes or No.
  14. The annual membership fee is $10.00 plus $1.00 for each associate.

    Payment options will be provided once you submit this form.

    Your membership will commence upon receipt of payment.

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