Comox Valley-Lazo Women’s InstituteMembership Form

Membership fee for 2013 is $50. Cheques can be made out to: Comox Valley-Lazo Women’s Institute

Name: __________________________________________________

Address: ________________________________________________

________________________________________________________

________________________________________________________

Phone Number: _______________________________________________

E-mail: ______________________________________________________

I’m interested in

Workshops

Speakers

Social Events

Fundraising

Forms can be mailed to: Comox Valley Women’s Institute c/o 2641 Kirby Road, Courtenay, BC V9J 1T3