Institute for Christian Studies Membership Form
Please print this form and mail it with your donation.
 
Yes! I would like to become a member of the Institute for Christian Studies.
 
I have enclosed the amount of:

$35   $50   $75   $100   $150   Other $________
 
 By enclosed cheque
 Money Order in Canadian or US Funds
 By Visa credit card, or
 by Mastercard credit card
 
Card Holder's Name: ________________________________________

Card Number: ____________________________       Expiry Date: ____/____

Amount: $__________       Signature: ________________________________________
 
Name:  
Address   (include apt./unit number if necessary)
Street:  
City:  
 Province/State:  
Country:  
 Postal/Zip Code:  
Telephone  Number(s)   (include country code if outside North America)
Daytime:  
 Evening:  
Facsimile:  
Email:  
Canada
Please send your donations to:
Institute for Christian Studies
229 College Street
Toronto ON
Canada M5T 1R4
- A tax receipt will be sent to you promptly.
- Canadian Charitable Registration # (BN): 10750 8434 RR
 
United States of America
Please send your donations to:
Friends of ICS
200 Sligh Blvd NE
Grand Rapids MI
49505 USA
- Please make cheque out to Friends of ICS.
 
International
Please send a money order in Canadian or US funds to:
Institute for Christian Studies
- Your donation will be gratefully acknowledged by mail.

Thank You!