THE TORONTO AFRICAN VIOLET SOCIETY

Application For Membership

Please “Right Click” on this page to print this form, complete the information required, enclose you cheque or Money Order, and mail to:

Marilyn Crompton

1908 – 21 Overlea Blvd.

Toronto, Ontario, M4H 1P2

Membership Fee - $15.00 per year.

NAME_______________________________ Mr, Mrs, Miss, Ms

(Please Print)

ADDRESS________________________________Unit#_______

CITY____________________ PROVINCE/STATE__________

POSTAL CODE_____________________

TELEPHONE _______ ______________________

(area code)

FAX NUMBER _______ ______________________

(area code)

EMAIL _________________________________________

Thank You For Your Interest In The Club