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Yes, I'd like to be a member of Ottawa Ikebana International! Instructions: Please print out this page, and fill in the information required. Write a cheque for $100 Cdn to "Ottawa Centennial Chapter - I.I.". Mail both the form and the cheque to the address at the top of this page. Surname: ___________________________ First Name: __________________________ Mr.   Mrs.   Miss   Ms.   (Optional - please circle one) Mailing Address: ___________________________________________ ________________________________________________________ City/ Prov. or State: ________________________________________ Postal or Zip Code: _________________________________________ Telephone 1: _(______)____________________________________ Telephone 2: _(______)____________________________________ Facsimile: _(_______)______________________________________ E-mail address: ____________________________________________ Have you been a member of I.I. before? If so, what was your membership number? ______________________ Do you already belong to a particular school of ikebana? If so, which one? _______________________________

Mailing address: P.O. Box 9562, Stn. "T" / Ottawa   ON   K1G 3V2 / Canada
e-mail: webmail@ikebanaottawa.ca
Copyright 2001 Ikebana International Ottawa Centennial Chapter. Last update: October 2007