MEMBERSHIP

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To register for membership, kindly fill up the information below and send in C$ 10.00 for application fee. A response will be forwarded to you to confirm your membership.

First Name
Last Name
Birthdate /mm/dd/yr

Sex :

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Female

E-mail Address :


Where do you reside?

Philippines
USA/CANADA
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Africa
Asia
OTHERS

Home Address :


Telephone Number :


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