O.D.S.C. MEMBERSHIP FORM
2006 - 2007

Please print clearly.
_________________________________
Last Name    
_________________________________
Last Name (if a couple - 2 names please)
_________________________________
Address    
_________________________________
Address    
__________________________________
First Name    
__________________________________
First Name (if a couple - 2 names please)
__________________________________
Address    
__________________________________
City    
__________________ _________________
Province Postal Code
___________________ __________________
Home Phone No. Home Fax No.
______________________________________
His E-Mail Address
______________________________________
Her E-Mail Address
________________________________________
His date of birth (optional)
________________________________________
Her date of birth (optional)
$ 30 per couple
(must be same address)

$ 20 per person
 
$10 per senior
(55 years and 65)
$8 per student
(full/Part time, no work)
$5 per senior
66 - over

Cheque or money order - payable to "ODSC". Thank you! - Do not send cash!

Please mail above form and fee to:
Mike Petsche
926 Paradise Crescent
Orleans, Ontario K4A 3S6

It is the time for you all to renew your membership to ODSC soon.

For those people joining Darts or Curling League or other active, you must be a member of ODSC shortly. It is easier for me and some officials at the leagues to know that everyone is a member for 2004 - 2005 already.

I need the form with address and cheque (no cash if handed in person) for an easy record of finance.

Thank you for understanding this request.

Mike Petsche
Your Treasurer, Ottawa Deaf Sports Club.