The Canadian Chrysanthemum and Dahlia Society (CCDS)  Membership Application Form
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Email *
First Name *
Last Name
*
Phone
Street Address
*
City
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Province / State
*
Postal Code / Zip Code
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Country
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Main Interest
*
Membership Fees:
New Members: CAD $15
Returning Members: CAD $20

Payment Options:
a) e-transfer to micburns@bell.net include a message stating
    i) purpose of payment 
    ii) your name if it is different than email address
b)  Mail cheque to Michael Burns, 35 Dunstable Dr., Whitby, Ont., L1M-2L8
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