Name
|
|
Address
|
|
City & Province
|
|
Postal Code
|
|
Telephone |
|
PLEASE INDICATE TYPE OF MEMBERSHIP APPLIED FOR:
|
| New Member |
|
Renewal |
|
Regular Membership ($30) |
|
Contributory Membership ($100) |
|
PLEASE MAKE CHEQUES OR MONEY ORDERS PAYABLE TO: Vancouver Island Blacksmith's Association
1040 Marwood, Victoria BC V9C 3C4
|
|