Ontarians with Disabilities Act Committee 
MEMBERSHIP APPLICATION 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. 
http://www.odacommittee.net/brief98c.html#principles

Type of Membership:   

[     ] Individual      

Name: __________________________________ 

Mailing Address: ____________________________________________________________ 

City Province Postal Code____________________________________________________ 


[     ] Organization / Company

Organization Company Name: __________________________________ 

Contact Person:   ___________________________________________

Mailing Address: ____________________________________________________________ 

City Province Postal Code____________________________________________________ 


Contact Numbers

(       ) _____________________  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 address: _____________________________

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 membership@odacommittee.net