CANADIANS CONCERNED ABOUT VIOLENCE IN ENTERTAINMENT
MEMBERSHIP APPLICATION
Member Information
DATE:
NAME:
STREET ADDRESS:
APT.#
CITY:
PROVINCE/STATE:
COUNTRY:
POSTAL CODE/ZIP CODE:
EMAIL:
TEL:
Membership Details
(
Please check all that apply
)
New Member
Renewal
Donation
Individual ($35 per year)
Institutional ($80 per year)
TOTAL$
Concerns about Entertainment Violence
(
Please check all that apply
)
Television
Music Videos
Computer Games
Movies
Sports
Toys
Pornography
All media
I wish to aid C-CAVE by
(
Please check all that apply
)
Advising on Policy
Organizing Public Events
Information (Newsletters, etc.)
Administration
Other (Please Indicate)
ADDITIONAL COMMENTS:
Please mail your application to...
Canadians Concerned About Violence in Entertainment (C-CAVE)
200 Balliol Apt 2001.
Toronto, Ontario, Canada
M4S 1C6