Membership Form

N.A.P.P.A. Membership Application

YES, I would like to join other citizens in supporting justice, fairness and equality for Canadian families everywhere!

Enclosed, please find my donation of (check one)

	$60 for an annual personal membership which includes a free copy of the "Canada Court Watch DVD" mailed to any Canadian address. Additional shipping charge of $10 if being sent to a U.S. address
	$120 for an annual personal membership which includes the latest copy of the "Canada Court Watch DVD" mailed to any address in Canada or the U.S. Also included is access to members telephone help services for the duration of the membership.
	$160 for annual business membership which includes promotion of your business on our internet sites as a supporter of justice and accountability. Members of the public will be encouraged to patronize our business members. Also included is a free copy of the latest Canada Court Watch DVD sent out to you.
	I am enclosing $ ______________as my donation (any amount). Amounts over $60 will be automatically entitled the benefits of a $60 membership.

NOTE: All donations are used to support the objectives of N.A.P.P.A., Canada Court Watch and the Family Justice Review Committee.

Mailing & Contact information
Your name

_________________________________________________________________________________

Company name (if business membership)

________________________________________________________

Full Mailing Address including postal code

________________________________________________________________________

Telephone No. ____________________________ Fax. No.____________________________

Business Tel. No. _____________________________

Please make all cheques or money orders payable to "N.A.P.P.A." or the National Association for Public and Private Accountability or "N.A.P.P.A." for short. Enclose your donation with this form (do not send cash by mail) and mail to:

N.A.P.P.A. National Association for Public & Private Accountability C/O "Courtwatch"
Box 30, Reimer Corporate Building 5500 North Service Rd. Burlington, Ontario L7L 6W6 Telephone 416-410-4115

Please copy this form and give it to a friend or neighbour