2007 Membership Form

 

Help build a legacy in the Danford Lake area by becoming a member of the Mont O’Brien Association.

 

Your membership has never been more important.  This year the Government of Quebec will be deciding if
the Mont O’Brien area will be given protected area status.  If this happens, the public (you and me) will have
access to this beautiful piece of crown land for many years to come.  Please renew your membership and help
make the proposed Mont O’Brien park a reality.

 

Note:  The Key for the Gate is the same as last year, marked OB.

All new members must sign and return the 2007

Member Responsibility and Key Form to obtain a key.

 

Membership is payable by cash, cheque or money order.

Please make cheques payable to the “Association du Mont O’Brien.”

 

 

 

For more information: Please visit  www.montobrien.com or contact a Board Member:

Renato Livinal 819-827-5803 * Stephanie Milford 819-467-1091                            
* Stacy Molyneaux 819-467-2948

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MEMBERSHIP FORM

 

Individual or family membership  ¨ $15         Membership Number _______

 

Additional Contribution   $ ______                             New Key requested:  ___________

                                                                                    (Please sign and return the 2006 Member Responsibility

and Key Form)

Name: __________________________________________________________________

 

For a family membership please list spouse/partner and children 17 years or younger. 
(Separate membership required for family members 18 years or older.)

_______________________________________________________________________

home phone no: (       )                   email address: ____________________________

 

home mailing address: _______________________________________________________