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VOLUNTEER REGISTRATION FORM

BANGLADESH EMERGENCY RELIEF SOCIETY

Name ________________________________________________
First Middle/Initial Last
 Male  Female  Teenager
Addr.______________________________ City: ___________ Post.Code ________
No. Street Apt/Suite
Tel: (Res.): _________ (Bus): ________ (Fax): ________ E-mail: _______________

AVAILABILITY

 Any time, but my preference is  A.M.  P.M.  Evening
 Evenings only: Preferred week-days __________________
 Week-ends only. Pref.time:  Sat.  Sun. AM PM  Evening  Other _________________________________

TIME OFFERED

Time offered: ____ hr's per  week or per  month or  _____________

COMPREHENSIVE VOLUNTEER SKILLS AND INTERESTS

Enter as many services, specialties or skills you may wish to offer, rating them 1, 2, 3....
in order of preference.
 Answering telephone  Office assistance  Bookkeeping
 Solicitation calls  Calls to friends  Graphics/Posters
 Text drafting  Buffet/reception help  Public presentations
 WEB page update  Retail donation boxes  Issuing Tax Receipts
 Visa/MC admin.  Corporate relations  Treasury tasks
 Church promotions  Service Clubs promo.  Other alliances
 Volunteer recruiting  Volunteer register adm.  Committee relations
 Car transportation  Other _____________  Other ________________

COMMITTEE PARTICIPATION

Enter only if you wish to take an active or leadership role with a specific
fund-raising project or promotion activity, as an organizational committee member.
 Media relations  Corporate donations  Retail donations
 Church/Club alliances  Benefit Concert  WEB-page donations
 Family-to-Family donations  Out-of-city campaigns  Bangladesh relations
 Donations administration  Foundations donations  Volunteer relations

PURE DRINKING WATER FOR BANGLADESH

Send your family or group contribution to:
Bangaldesh Emergency Relief Society
283 Palisbriar Park S.W. Calgary, Alberta
Canada T2P 5H7
Fax: 403 251 1431 and E-mail the details (for reciept purposes): banglarelief@hotmail.com

Or ask your bank to deposit your donation directly to the following account:

BANK OF MONTREAL (Calgary, Alberta)
Bangladesh Emergency Relief Society Donations Account
Account No. : 24999 001 8074 463
Registered under the Alberta Charitable Fund-raising Act.
Revenue Canada Registration No. 86927 1262 RR0001

Home Page

Email: banglarelief@hotmail.com