Mary Campbell Co-op

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


Mary Campbell Co-op
587 Talbot Street
London, Ontario  N6A 2T2
Telephone: 438-8941
Email: cpgelina@uwo.ca