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      Ottawa Mixed Media Artists

 

OMMA MEMBERSHIP FORM

 

$30 new members      $20 to renew

 

 

 

Name:

 

 

 

 

Address:

 

 

 

 

Postal Code:

 

 

 

 

Phone #:

 

 

 

 

Email address:

 

 

 

 

Date:

 

 

 

Interested in Volunteering?

 

  days  ________ evenings ________weekends _______

 

 

Please note the change in address for membership renewal

 

 

To fill out the form, either print this page or download a copy of the MEMBERSHIP FORM for later use.  Please print carefully and send the completed form and a cheque payable to OMMA at the address below:

 

    OMMA Membership

     c/o NCAC

     35 Stafford Road

     Ottawa  ON  K2H 8V8