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 – $15.00)                                       (  )      I would like a two year subscription – $25.00                                      (  )      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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