Membership Application form for the Dispro Owners Association

Name______________________________________________________

Co-memberís name___________________________________________

Address____________________________________________________

Postal Code________________

Telephone : Res____________________Bus______________________

e-mail address_______________________________________________

Summer address_____________________________________________

______________________________________Phone_______________

Boat builder________________________________________________

Model_________________________________________________

Number_________________________________________________

Name_________________________________________________

Engine make________________________________________________

Number ________________________________________________

(List others on reverse side if necessary}
$25.00 per family

$35 per family for U.S. memberships.

Make cheques payable to DISPRO OWNERS ASSOCIATION and return to:

Dispro Owners Association
18 Batawa Crescent
Etobicoke, Ontario
M9V 2V5

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