Application Form

Membership Application

 THE MARITIME FIDDLER

Published by the Maritime Fiddlers Association

 Subscribers automatically become members of

THE MARITIME FIDDLERS ASSOCIATION

 NAME:   ___________________________________________________________________

ADDRESS:  _________________________________________________________________

CITY: ____________________________________________________________

PROVINCE:  ___________________POSTAL CODE: _________________

PHONE:  _____________        EMAIL ADDRESS: _________________________

(  )      I would like a one year subscription – $10.00)                                             ($15.00 after June 1, 2016) 

(  )      I would like a two year subscription – ($20.00)                                                        ($25.00 after June 1, 2016)                                                                                                                                                                   (  )       I am a new subscriber      (  )   I wish to renew my subscription

Make cheque or Money Order payable to: Maritime Fiddlers Association

Mail to:   Karen Rowlands                                                                                           PO Box 53                                                                                                                       Falmouth NS   B0P 1L0

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