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logo     Oakvillegreen Conservation Association
              Membership Form


I/We would like to join the Oakvillegreen Conservation Association.

Name(s): ___________________________________________________________________
Address:
___________________________________________________________________ 
   __________________________________________________________________________

Phone #:
 Home: ________________________                  Other: ____________________

E-mail Address(es):
__________________________________________________________

How would you prefer to be contacted:      E-mail ______ Phone ______

Type of Membership (Note: All memberships effective until September 30, 2008):

Individual: Annual - $20 _____
Family: Annual - $25     _____
Student: Annual - $ 5    _____
(Cheques payable to Oakvillegreen Conservation Association)
Amount Enclosed: $________

Would you be interested in volunteering with Oakvillegreen? Yes _____ No ______
Do you have any areas of interest or concerns? If yes, please specify:

___________________________________________________________________________
___________________________________________________________________________


Do you have any particular skills or experience that you would like to share with us?

___________________________________________________________________________
___________________________________________________________________________

How did you learn about Oakvillegreen?

    • Relatives/Friends/Neighbours: _____
    • Website: _______________________________________
    • Event (specify): ____________________________________________
    • Media: Newspaper _____ TV_____
    • Other (specify) _____________________________________________
    • Other Organization (specify): _________________________________
    • Other (specify):_____________________________________________
Mail completed form to: Margaret Kirwin - 1209 Halfmoon Lane, Oakville ON  L6H 2E4
 
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