Friends of Iceland

2011 Membership Registration

 

 

Date:

 

 

 

Surname:

     

Given Name:

     

Name of Spouse:

     

Children:

     

 

     

Mailing Address:

     

City:

     

Province:

     

Postal Code:

     

Telephone (home):

     

Telephone (work):

     

Fax:

     

e-mail:

     

 

Please send this form and enclose a cheque payable to:

Friends of Iceland

Mail it to the

Friends of Iceland

Treasurer

1084 Cloverlawn Court

Ottawa  ON  K1J 6V8

 
 


Membership Fees: (Please check one)

Regular Membership - $20

Family Membership - $25

Student & Senior (65+) - $15

Corporation - $25

 

VELKOMINN !!

 

Comments:

     

 

 

 

 

Text Box: For information about the Friends of Iceland
Please visit our newsletter website at: http://www.hrafninn.ca
Or the facebook page: Friends of Iceland (Ottawa)