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Application For Membership to the Canadian Macedonian Historical Society |
Print and complete this form then mail it along with your membership fee to:
Canadian
Macedonian Historical Society
850 O'Connor Drive, Toronto, Ontario, CANADA M4B 3L6
Applicant Name: __________________________________________ Address: __________________________________________ __________________________________________ City: ________________________ State/Province: ________________________ Country: ________________________ Zip/Postal Code: ________________________ Home Tel.: ________________________ Bus. Tel.: ________________________ ________________________
Check the region of Macedonia you or your family are from:Vardar:__ Aegean:__ Pirin:__ Mala Prespa:__ Other:__
If "Other" please explain: ____________________________________
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____ I have enclosed my single membership fee of $20.00 (Canadian Funds)____ I have enclosed my family membership fee of $30.00 (Canadian Funds)
Date:_________________________________
Signature of Applicant:_________________________________
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I would like to become a Volunteer Member: Yes___ No___
I can volunteer for _____ hours per month
Please make payment to "Canadian Macedonian Historical Society"
The Canadian Macedonian Historical Society reserves the right to accept or reject any application submitted.