CANADIANS CONCERNED ABOUT VIOLENCE IN ENTERTAINMENT
MEMBERSHIP APPLICATION
Member Information
DATE:
NAME:
STREET ADDRESS:
APT.#
CITY:
PROVINCE/STATE:
COUNTRY:
POSTAL CODE/ZIP CODE:
EMAIL:
TEL:
Membership Details (Please check all that apply)
New Member Renewal Donation
Individual ($35 per year) Institutional ($80 per year)
TOTAL$
Concerns about Entertainment Violence (Please check all that apply)
Television Music Videos Computer Games Movies
Sports Toys Pornography All media
I wish to aid C-CAVE by (Please check all that apply)
Advising on Policy  Organizing Public Events  Information (Newsletters, etc.)   Administration
Other (Please Indicate)
ADDITIONAL COMMENTS:





Please mail your application to...
Canadians Concerned About Violence in Entertainment (C-CAVE)
25 Cecil Street
Toronto, Ontario, Canada
M5T 1N1