METRAC
Membership Application Form

Thank you for joining METRAC as a member in the struggle to end violence against women, youth, and children. Please fill out this online form and, where applicable, send your annual fee to METRAC either by mail (cheque or cash) or by phone (Visa). A non-deductible tax receipt will be sent to you. Please note that your application for membership cannot be processed until your fee is received (unless you are a youth aged 15-24, a student, or an under/unemployed person and you have selected a sliding scale fee of $0).

Please make cheques out to METRAC and mail fees to: METRAC, 158 Spadina Road, Toronto, ON, M5R 2T8.

General Information
*Name: Organization/Company
*Mailing address: Email address:
Cell phone: *Phone number:


Specific Information
*Yes! I understand METRAC works to end violence and promote the right of diverse women, youth, and children to live free from violence, and I endorse this mission.
Choose any that apply:

I am a new member
I am a returning member
Please send me information on becoming a volunteer
*Annual membership fees and options (choose one):

$10 (on sliding scale of $0-10): youth 15-24 years old, students, under/unemployed individuals - please indicate amount
$25: other individuals
$35: non-profit organizations (one deligate may vote at AGM)
$100: for-profit organizations with annual budget of $50,000 or less (one deligate may vote at AGM)
$250: for-profit organizations with annual budget of $250,000 -$1,000,000 (one deligate may vote at AGM)
$500: for-profit organizations with annual budget of $1,000,000 or more (one deligate may vote at AGM)
*Fee payment information (choose one):

I will mail cash or cheque to METRAC in the amount indicated above; please contact me for a reminder
I would like to pay by credit card (Visa); please contact me over the phone for my credit card information