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Individual Membership Application

Download the Individual Membership Application here Or Apply Online by filling out the form below

Individual Membership Application

(All information will be held in the strictest confidence)
  • Membership

  • Contact Information

  • Corporate Members

  • Date Format: MM slash DD slash YYYY
  • Please Mail Your Cheque To:

    NIAGARA ANGEL NETWORK
    20 Pine Street North, Studio A
    Thorold, ON L2V 0A1