PAL Halifax Membership Form

Members help support the PAL Halifax initiative by contributing $20 towards the ongoing costs of this campaign. If you would like to become a member, please fill out the on-line form below (or Download/Print/Mail in Membership Form in PDF Format).

Please mail a cheque for your $20 annual Membership fee or other Donation (no cash please) to:

PAL Halifax
103 – 1660 Hollis Street
Halifax, NS B3J 1V7
Charitable Registration #: 850879677 RR0001

Donations of any size are appreciated and fully tax deductible.

Please see our How You Can Help page for other ways you can support PAL Halifax or make your Donation on-line via PayPal or CanadaHelps.org securely using your Credit Card.

Please do not include your Credit Card information if you are using the form below and please include a note along with your payment with any special instructions.

Please complete and submit the form below

* Your Name:

* Your Email:

* Full Mailing Address:

* Your Phone Number:

FAX Number:

* Choose Membership Fee or Donation:
$20 Annual Membership Fee Other Donation Amount

Other Comments/Instructions (ie Donation Amount):

* Type the numbers.