ONTARIO LIMOUSIN ASSOCIATION

MEMBERSHIP FORM

www.ontriolimousin.com

Name:__________________________________________________

Farm Name:____________________________________________

Address:________________________________________________

__________________________________________________________

Telephone Number : ___________________________________

Email: __________________________________________________

Annual Membership:  $25 +tax        Annual Administration Fee: $25+tax

Total:  $56.50 including the tax

We are trying to correspond via email when possible so we appreciate you including your email address.

Payment can be made by:

E-Transfer (limousinontario@gmail.com) CIBC

Or by mailing a cheque made payable to Ontario Limousin Association to:

Ontario Limousin Association
Nancy Lawrence
263657 Southgate Rd 26
R.R. #4
Durham, ON
N0G 1R0

Thank you for your support of the Ontario Limousin Association!