Why should you join Action Life?

• You are taking a positive step towards promoting respect for life.
• You will receive regular educational information.
• You will personally contribute to the overall strengthening of the pro-life voice in our society.

To join in defending life at all its stages, print and complete this form and mail it to Action Life. The cost is minimal: $25.00 for general membership and only $15.00 for seniors/students.

Please print this form, complete it and mail to: ACTION LIFE (OTTAWA) INC., 376 Churchill Ave. N., Suite 309, Ottawa, ON. K1Z 5C3

Please print
Name:______________________________________________________
Address:____________________________________________________
City:____________________________ Postal code:_________________
Phone:_______________

Annual membership dues: General $25.00 or Senior/Student $15.00 $_____ Donation $_____ Total Contribution $_____

 (Income tax receipts will be issued for memberships and donations for $10.00 and up).
Registration # (BN) 11877 7341 RR0001) 

Indicate below if you would like information on any of the following:
Abortion ___  Euthanasia ___  New reproductive technology ___   Fetal development ___