Individual Membership Form Name(Required) Preferred Pronoun(s) He, She, His, Hers, They, Them, Theirs, Ze, Sie, Zie, HirAddress(Required) Street Address City State / Province / Region ZIP / Postal Code Email(Required) Eligibility – I agree with the following: I am above 18 years of age I have legal status in Canada I am Deaf, Deaf-Blind, or Hard of Hearing I can communicate fluently in ASL or LSQ Terms I read and acknowledge my benefits as an individual member. By applying for individual membership, I acknowledge and fully understand that the CAD-ASC Board may revoke my membership should it deem my actions, comments and/or behaviour not align with CAD-ASC’s mission, vision, or goals. I understand my membership fees are non-refundable upon such revocation and that I may reapply for membership the next Fiscal Year. I am aware that individual membership does not grant authorization to vote, as per CAD-ASC bylaws. Annual Fee $25 (1 Year – April 1 to March 31) * Not eligible for an official tax receiptAnnual Fee(Required) Price: (1 Year – April 1 to March 31)HiddenMake a Donation $25 $50 $75 $100 $250 $500 Other Tax receipt is issued for $10 or more.Total Payment Method Cheque or money order (do not send cash in the mail) Pay $25 Membership fee in the E-store Credit card E-transfer to email@example.com E-transfer Email(Required) Payment MethodPayPal CheckoutCredit Card MasterCardVisaSupported Credit Cards: MasterCard, Visa Card Number Expiration Date Security Code Cardholder Name Anything Else?Anything else you want to tell us?Would you like to make a donation? You can do so on our Make a One-Time Donation page.