MEMBERSHIP PLAN


Please type the appropriate information in the spaces below, then
print it out (click on FILE and then click on PRINT) and mail to:

Flamborough Information & Community Services
315 Dundas St. E. Box 240  Waterdown, ON  L0R 2H0

I have enclosed my annual membership fee of $25


Organization:_____________________________________________ 


Contact Name:_____________________________________________


Telephone:_____________________Fax:_______________________          
                                            

Mailing Address___________________________________________
                                                                                          
City:___________________________ Postal Code:_____________


Subject category of business:_________________________________________________

                                                             
Description and 
Location of business:______________________________________


___________________________________________________________


___________________________________________________________


E-Mail Address:____________________________________________


Web Site URL:http://_______________________________________