CCADP Membership
Form
Canadian
Coalition Against the Death Penalty (Established 1998)
80 Lillington Ave. Toronto, ON
M1N-3K7 416 693 9112
www.ccadp.org
info@ccadp.org
I’m joining the fight against the death penalty around the world
!
_____ $25 Annual Membership
_____ $40 Annual Joint Membership (any 2)
_____ $15 Student / Senior / restricted income
_____ $100 Professional / Corporate / Law Office
_____ $125 Personal Lifetime Sustaining Membership
_____ Enclosed is an additional contribution of:
$_________ to help
support the CCADP's work.
_____ I wish to become a
volunteer
_____ I’m interested in writing
/ helping a death row prisoner
_____ Please add me to the CCADP
email list.
Name:__________________________________________________
Address:________________________________________________
City:________________________
Province/State:_____________
Postal/zip :__________________
Country:___________________
Phone:__________________
Email:_________________________
URL :
http://www.________________________________________