
MARY
CAMPBELL CO-OPERATIVE INC.
MEMBERSHIP COMMITTEE
PERSONAL INFORMATION PROTECTION STATEMENT
I/We understand that Mary Campbell Co-operative Inc. will use the information contained within this application to:
Contact me/us about this application
Determine my/our eligibility for housing and membership in Mary Campbell Co-operative Inc.
Decide if I/we qualify for subsidy
Decide on any request for an internal move
I/We understand that Mary Campbell Co-operative Inc. will destroy personal information that it no longer needs.
I/We have read and received a copy of this statement.
Signed: ________________________________________ Date: ________________
Signed: ________________________________________ Date: ________________
Signed: ________________________________________ Date ________________
Signed: ________________________________________ Date: ________________
All members of the household 16 years of age and older
must sign this Personal Information
Protection Statement.
Approval by Board of Directors
January 24, 2004
Mary
Campbell Co-op
VACANCIES
Information Meetings
Application for Membership
Overview