MEMBERSHIP RENEWAL: Individual Membership: 25$Family Membership: 30$

Last Name First Name

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

Last Name First Name

Has your information changed since your last subscription/renewal? YesNo

If the answer is no, you do not have to fill out the form again, go to “SUBMIT”. If yes, fill in only the boxes where there have been changes.

Email

Phone

Address City

Province Postal Code

Other:

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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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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Name

Email Phone

Address City

Province Postal Code

Corporate Member: 50,00$
Sponsor: * $
Donation: $
Participating Merchant **

You can add details here:

If you are a new corporate member, 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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