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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