APPLICATION FOR MEMBERSHIP
(Please print)




Name


Additional members*


Street Address




City and Province Postal Code


Email Address

Phone

Optional Donation to further work of the Society $

Total $………………………..











Lifetime membership for individuals $35


*Lifetime membership for families including children under 18 $50

Please print and complete this form and mail it with your cheque to:

The Funeral Information Society of Ottawa Box 32057, 1386 Richmond Rd. Ottawa ON K2B 1A1

Date of this application……………………………

Please allow up to three weeks for delivery of your membership package.