Supporting OCS - Membership/Field Trip/Queries/Donation
Print this page. Complete this application form. Enclose a cheque or money order
(Canadian funds).
Mail To: Old Cemeteries Society -
Box 50004
#15-1594 Fairfield Road, Victoria, BC, Canada V8S 1G1
Membership:
_____ Student - $15
_____ Individual - $25
_____ Family - $40
Roster of the 'Fifty-Eighters' in BC - OCS Publication
_____ $5.00 (No postage charged when applying for membership)
Queries:
_____ See Queries page for fees. Please include details on the back.
Make a donation to assist our research, restoration and education work. Donations over $10 are tax deductible.
_____($50) _____($75) _____($100) _____(Other)
Date:
Name:
Additional Family Membership name(s):
Address:
City:
Province/State/Country:
Postal Code:
Telephone:
Email Address:
THANK YOU FOR YOUR SUPPORT