Salt + Light Membership

Whether you are a Salt + Light subscriber, or would like to become one - or you simply want to receive our newsletter, please take a moment and register your commitment with us. By letting us know who you are:

• You will be added to our mailing list for The Messenger, the Salt + Light Newsletter
• It is a way for you to say “YES. I support Catholic Television.”
• It establishes an ongoing relationship with Salt + Light Television – your views and opinions are important to us as we continue to serve our Catholic community.

Mr. Mrs. Ms. Fr. Sr. Rev. Br. Dr.	First Name:		Last Name:
Address:			Apt:		City:
Province: Alberta British Columbia Manitoba New Brunswick Newfoundland Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Territory			Postal Code:
Home Telephone:			Email:
Alternate Telphone:			Ext:
S+L TV Subscriber?		Yes No	Household Size:
Service Provider:		Rogers Bell Express Vu Cogeco Delta Cable Earth Link Look Television Mountain Cable Shaw Star Choice Videotron Other
Parish Name:
Diocese:		Toronto London Ottawa Alexandria-Cornwall Amos Antigonish Baie-Comeau Bathurst Calgary Charlottetown Chicoutimi Churchill-Hudson Bay Edmonton Edmundston Gaspé Gatineau-Hull Grand Falls Grouard-McLennan Halifax Hamilton Hearst Joliette Kamloops Keewatin-Le Pas Kingston Labrador City-Schefferville Mackenzie-Fort Smith Moncton Mont-Laurier Montréal Moosonee Nelson Nicolet Pembroke Peterborough Prince Albert Prince George Quebec Regina Rimouski Rouyn-Noranda Saint John Saint-Boniface Sainte-Anne-de-la-Pocatière Saint-Hyacinthe Saint-Jean-Longueuil Saint-Jérôme Saint-Paul Saskatoon Sault Ste. Marie Sherbrooke St. Catharines St. George's St. John's Thunder Bay Timmins Trois-Rivières Valleyfield Vancouver Victoria Whitehorse Winnipeg Yarmouth
Become Agent of S+L:		Yes No	Contact me by:			Telephone E-mail Mail Do Not Contact