Username
Password
.
MEMBERSHIP REGISTRATION
I volunteer Perth-Huron Logo
Volunteer Perth-Huron ‐ Membership Application Form.
Select the level of membership
 *
Payment Method
 *
Organization Name
 *
Program Name (if applicable):
Banner Image
(JPG, PNG, GIF; 10MB max)
Address:
 *
Address (2nd Line)
City/Town
 *
Province:
 *
Postal Code
 *
Main Phone:
 *
Fax:
Other Phone:
Website
Year Established? (if applicable):
If you are a registered non ‐ profit or charity, please provide your number below:

If you are an organization, please indicate which community your organization serves (select all that apply):
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  

Name of Volunteer Manager/Coordinator:
 *
Phone:
 *
E-mail:
 *
Does the Volunteer Manager/Coordinator wish to receive communications?
  
  

Organization/Chapter Head:
Phone:
E-mail:
Does the Organization/Chapter Head wish to receive communications?
  
  

Board Chair (if applicable):
Phone:
Email:
Does the Board Chair wish to receive communications?
  
  

If you are an organization, please provide a brief description about your organization, the services/programs provided, and your organization’s impact on the community: (300 words maximum)
 *
# of Staff (if applicable).Help
# of Volunteers you currently have (if applicable).Help
How did you hear about us?
Other:
Members receive a year’s membership and can post as many positions as needed throughout the year
Funding provided by
HBDC   Huron County   SRPC   UWPH   OTF

Copyright © 2017 I Volunteer Perth Huron All Rights Reserved.