NEW MEMBERSHIP FORM: Individual Membership: 25$Family Membership: 30$

Last Name First Name

Email Phone

Address City

Province Postal Code

———- NAMES OF OTHER FAMILY MEMBERS IF APPLICABLE ———-

Name Email
Name Email
Name Email

How did you hear about COBM?
WebsiteFacebookFriendOther:

Make a bank transfer (Interac) in the name of COBM (recipient) to the email address: info@cobm.ca. The answer to the security question is cardinal.

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