Manitoba Orienteering Association

2012 Membership Application

Names of Members

Surname

First Name Sex (M/F) Birth Date (YY/MM/DD)
       
       
       
       
       
       
       

Address and telephone number
Street/Box No:
Town/City:
Postal Code: Home Telephone:
Email Address:

 

Membership Category Fee Number
Adult (Born on or before Dec. 31, 1991) $5.00  
Junior (Born on or after Jan. 1, 1992) $3.00  
Associate (for groups only; leader must pay membership fee) $40.00  

Please make cheque payable to:

Manitoba Orienteering Association

 Mail membership application, signed waiver and cheque to:

Manitoba Orienteering Association
145 Pacific Avenue
Winnipeg, Manitoba
R3B 2Z6

 

If you know of anyone who might be interested in learning about orienteering please provide their names and addresses below and we will send some information to them. This is one of the best ways to increase orienteering's membership!

Name Street Town/City Postal Code
       
       
       
       
       

Thank you for taking out a membership!