Volunteer

1. Please provide us with your contact information.

First Name:	*
Last Name:	*
Address:	*
Address (Cont'd.):
City / Town:	*
Province:	*
Postal Code:	*
Home Phone:	(   )*   *-   *
Cell Phone:	(   )   -
Business Phone:	(   )   -   ext.
E-Mail:
Conservative Party of Canada Membership #:	*

2. Please select type(s) of Association work for which you wish to volunteer.

	Stand for Election toBoard of Directors		Fundraising Committee
	Volunteer Development Committee		Membership Committee
	Representative at Special Events		Write Articles forNews
	Other (Please Specify Below)