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Icelandic Canadian
Club of
Edmonton Nordurljos Chapter |
Membership Confirmation Page
Thank you for sending your membership form. We will use the following information to contact you:
Name: Name
Address: Address
City: City
Province/State: Province
Postal/Zip Code: Code
Country: Country OtherCountry
Phone: Phone
Fax: Fax
E-mail: Email
My contact information in the directory YES, publish NO, DO NOT publishYour membership category is: Membership
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Please remember to mail your payment to:
Charles Grant
4203 – 120th Street
Edmonton, AB T6J 1X9
Ph. (780) 434-4469
Email: chgrant@shaw.ca
Thanks for joining the Icelandic Canadian Club of Edmonton!
Revised: June 21, 2006 .