Membership Form

 CLEARVIEW OAKVILLE COMMUNITY ALLIANCE (C.O.C.A.) MEMBERSHIP FORM 

 

 C.O.C.A.'s ANNUAL MEMBERSHIP FEE IS $20.00.

 

 

 NAME ____________________________________________  PHONE # ___________________

 

 

 

 ADDRESS ________________________________________  POSTAL CODE _______________

 

 

 

 E-MAIL ADDRESS ________________________________________

 

 

 

 PLEASE MAKE YOUR CHEQUE PAYABLE TO C.O.C.A. and BRING IT WITH YOU TO A C.O.C.A. MEETING.

 

 

 Thank you for your support!

 

 

 

 

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