HAT MembershipApplication Form New or Renewing Member? * New Member Renewing Member If you're a new member, what influenced you to join? Name. If this is a household membership, please include all names. * First Name Last Name Phone * Email * By becoming a member you consent to receiving electronic communications from us via MailChimp, a better, more efficient email system. We will only contact you to provide you with the latest version of our digital newsletter, event reminders and other announcements. Address Address 1 Address 2 City State/Province Zip/Postal Code Country Membership Type * Individual ($30 / year) Student ($10 / year) Individual Limited Resources ($10 / year) Household ($40 / year) Household Limited Resources ($15 / year) Lifetime ($200 one time) Do you wish to be listed in our public membership directory? * Yes No May we exchange your name and address with like-minded organizations? * Yes No You will receive our monthly newsletter by email. Would you also like a print copy of upcoming newsletters by regular mail? * Yes No Payment Method * Cheque Money Order Interac E-Transfer Thank you!