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Membership Donation Form (Pledge duration: Jan. 1 - Dec. 31)
Name:
Address:
City:
Provice:
Phone#

Please print this form. Brochure may be viewed here.

Tax receipts are availible upon request for any financial donations.

Send application and cheque to: U.T.R.C.A. c/o Harrington Grist Mill Restoration Project 1424 Clarke Road London, Ontario N5V 5B9

Membership Donations Categories Individual $10.00 Apprentice Miller $20.00 Miller $50.00 Master Miller $100.00 Millwright $250.00 Master Millwright $500.00

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