Welcome to PURE

Community-Based Sustainable Energy Strategies for Dufferin County and the Headwaters Region

Become a member of PURE and get involved in our exciting renewable energy projects!!

Your membership is a tangible way of showing your support for our programs and objectives.

To join PURE, please download, print and fill in our Membership Form
(3 formats): Text (see below) || Word || PDF

             Membership Form
PURE - Power Up Renewable Energy Co-Operative

Please fill in the following information fields, 
and send your form and cheque, payable to 
"PURE Co-operative", to the address listed below.

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1. Member Contact Information

Date:          _________________

Name:          __________________________________

Company/Organization
(if applicable): ________________________________

Address:       __________________________________

               __________________________________

Town/Township: __________________________________

Postal Code:   _________________
 
Home Phone:    __________   Work Phone: _________

Mobile Phone:  __________   Fax: ________________

Email:         __________________________________

How would you prefer to be contacted?

Email: ___  Phone: ___ Mail: ___ Fax: ___

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2. Annual Dues Paid $________   

Individual: $20.00 
Family: $35.00 (2 Votes)
Student: $5.00
Individual (over age 60 or under 21): $15.00
Individual life membership: $500.00 
Family life membership: $900.00
Corporate: (1 Vote): 	
$100 (10 employees or less), $250 (11 - 50 employees)
$500 (51 - 100 employees), $1000 (over 100 employees)

(note: membership period is based on the calendar year)

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3. Areas of interest (check as many as apply):

Publicity:      ___   Wind Energy:  ___
Fundraising:    ___   Conservation: ___
Administrative: ___   Micro-Hydro:  ___
Web/Computers:  ___   Solar:        ___
Political:      ___   Biomass:      ___
Business:       ___   Hydrogen:     ___

Other:          _______________________


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Any personal skills and experience that you have
to offer to the group:

_________________________________________________


Other people or organizations we should contact:

_________________________________________________

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PURE Co-operative
Box 921
Shelburne Ontario L0N 1S0