Canadian Canal Society - Societe des Canaux du Canada
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Canadian Canal Society Membership Form
You may fill out this form on-line and then print it, or print out a blank form and fill it in by hand. Please mail it, with a cheque or money order to the address shown below
(use the print button on your browser to send this form to your printer)

Individual: $20.00
Family: $25.00
Institution: $35.00
Contributing: $30 or more
I would like to make an additional donation of towards the work of the Canadian Canal Society.

Name:
Mailing Address:

City:
Prov:
Post/Zip Code:
Country:
Email:

Please make your cheque or money order in Canadian funds payable to the "Canadian Canal Society" and mail to:
Canadian Canal Society
PO Box 42
Niagara-on-the-Lake, ON  LOS 1J0
Canada


info@canadiancanalsociety.org

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