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Membership Form



Canada Japan Society of Ottawa

 Name: __________________________________________________ 


Address:  ________________________________________________




E-mail:    ________________________________________________


               Home:  __________________________


     Office:  __________________________


     Cell:  ____________________________


Please check type of membership desired:  New_____ or Renewal  _____

            _____ Individual ($15.00)

            _____ Individual senior  ($ 5.00)  

            _____ Family  ($25.00)

            _____ Student Visa/ Work Holiday Visa (no charge). Visa expiry month _________


If family membership, please list all family members and indicate ages of children under 16:








Our newsletters are available by e-mail!   Please check if you would like to receive the e-mail versions instead of paper copies   _________ 

(Photos of digital version are in colour)


Reminder and confirmation of attendance at monthly dinners (please check only one):

            Contact me by e-mail: ______________________________

            Contact me by phone: ______________________________

            Do not contact me; I will contact CJSO when I wish to attend: ___________________________________


Please do not send cash by mail. Make your cheque or money order payable to: Canada Japan Society of Ottawa

and mail it to:

  1. CJSO Membership
    P.O. Box 8260, Station T
    Ottawa, ON K1G 3H7