PLEASE PRINT CLEARLY AND COMPLETE EACH SECTION
Membership Renewal Form PERSONAL INFORMATION UPDATE PLEASE PRINT CLEARLY AND COMPLETE each SECTION Membership Number: ___________________________ Date of Last Renewal: (dd/mm/yy):__________________ First Name: __________________________ Last Name: ___________________________ Middle Initial(s): _____ Address_________________________________ ________________________________________ ______________ City: ____________________________________ Province: ___________________ Postal Code: ____________ Date of Birth dd:____ mm:____ yyyy:_______ Place of Birth: ________________________________________ ___ Phone: ____________________ Work: ____________________ Mobile:__________________ Fax: ____________ Email Address: _____________________________________ Website: ___________________________________ TYPE OF MEMBERSHIP RENEWAL FULL - Any person of Aboriginal descent within the meaning of s35(2) of the Canada Act, 1982 but NOT a band member residing on a reservation.
OATH I hereby make application for membership with the Ontario Métis Aboriginal Association –The Woodland Métis Tribe and do swear that all of the information contained herein is true to the fullest extent of my knowledge.
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