You can print this frame, then fill out the information and mail it to the Canadian Lifeboat Institution. The address is:

QUESTIONNAIRE
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Please complete the following information. We will keep it on file to assist in locating people with required skills, aptitudes and a willingness to help others.

Name: ____________________________________________________________

Address: _________________________________________________________

Telephone: _______________________________________________________

VOLUNTEERING
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I am interested in: (please and check all that apply)

*	Crewing on a C.L.I. Lifeboat			___

*	Assisting at a C.L.I. Station			___

*	Assisting with C.L.I. training			___

*	Assisting with C.L.I. fund raising		___

*	Assisting with C.L.I. membership		___

*	Promotion and advertising for the C.L.I.	___