Ontarians with Disabilities Act Committee

MEMBERSHIP APPLICATION FORM

click here for a larger print membership form

I / We wish to join the ODA Committee.    I / We endorse the Committee's mission statement.

"To work to secure the enactment in Ontario of new legislation and regulations with the aim of achieving the full and equal participation of persons with disabilities in all aspects of Ontario life by creating a barrier free society through the removal of all existing barriers and the prevention of new ones."

I / We also have read and support the principles of the ODA Committee.

Type of Membership:   [     ] Individual       [     ] Organization

Name: __________________________________

Address:

___________________________________________________________

___________________________________________________________

___________________________________________________________

(       ) _____________________  Work Telephone Number

(       ) _____________________  Fax Number

(       ) _____________________  Home Telephone Number

(       ) _____________________  TTY

Please add me / us to the ODA Committee's E-mail distribution list for receiving materials from the ODA Committee:     Yes: ____   No: ____

email:
work:___________________________   home:  ___________________________

E-mail address to use for Distribution List:
Work:  ____   or Home: ____

There is no charge for membership.  The ODA Committee welcomes all the help which our members can offer in the way of volunteer activities.

I / We are able to offer the following in the way of assistance to the ODA Committee:

__________________________________________________

__________________________________________________

__________________________________________________

Please mail the completed membership form to:
ODA Committee Membership
c/o Marg Thomas
1929 Bayview Avenue, Toronto ON M4G 3E8

or email the Ontarians with Disabilities Act (ODA) Committee at membership@odacommittee.net

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