Mòd Vancouver    
Membership (Ballrachd)  
 
In support of Mòd Vancouver and its efforts towards furthering the Gaelic cause, I wish to pay a $10 membership covering the period from May 1st 2007 to December 1st 2008.  
 
 Newsletters with current information will be sent out regularly.  Please include your e-mail address below for quick communications.  
 
 NAME:              ________________________________________________

ADDRESS:         ________________________________________________

                            ________________________________________________

                            ________________________________________________

TELEPHONE:    ________________________________________________
 
E-MAIL:              ________________________________________________
 
Please also add the name of any acquaintance interested in receiving our newsletter and general information.
 _________________________        _________________________
                                                Name                                                               Email
________________________        _________________________
                                                Name                                                               Email
_________________________        _________________________
                                                Name                                                               Email
 
Cheques (in Canadian funds) should be made payable to “MOD VANCOUVER”

Mail to:                      
John Hanson
                                   
10420 No. 4 Rd.
Richmond, BC
V7A 2Z7
            Tel: (604)
274-7621
Email:  john.hanson@telus.net

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