MEMBERSHIP APPLICATION FORM


Please fill in all of the appropriate fields in the form below, print it out and mail it with a cheque to:

 

 

Ottawa Orchid Society
(Membership)
221 Glebe Ave.,

Ottawa, Ontario,

Canada K1S 2C8

 

Dues are $25.00 per year (Sept 1 - Aug 31). Make all cheques payable to the "Ottawa Orchid Society."

First Name:

Last Name:

Spouse:

2nd First Name:

2nd Last Name:

Address:

Apt #:

City:

Province/State:

Postal Code:

Home Phone Number:

* Work Phone Number:

* Fax Number:

E-mail Address:

Comments:

* Indicates fields that are optional