Registration Form for the Ottawa Smockers' Guild

Name: __________________________________________
                                         (please print clearly)

Apt./Unit: ___________________________
Street: ______________________________
City: _______________________________
Postal Code: ____________________
Home Telephone Number: ____________________________
E-Mail Address: ____________________________________

Please include your cheque for $20.00 made payable to
    “The Ottawa Smockers' Guild”
Mail your completed form to:
Guild Membership,
1481 Chomley Cresc.,
Ottawa ON K1G 0V9