Registration Form

Membership for 2007/08:
$35.00
Trent Severn Levy :
5.00
TOTAL:
$40.00

 New Membership:
 Renewal Membership:
 Big Hawk Lake:
 Halls Lake:
 Little Hawk Lake:
 Other:(Please Specify)

 First Name:
 Last Name:
 E-Mail Address:
 Address line 1:
 Address line 2:
 City:
 Postal Code:

 Phone Residence:
 Phone Cottage:
 Cottage ID Nember:

Please mail your completed registration form along with your cheque made payable to HHLPOA to:

Carole Russell
3 Glenrose Avenue
Toronto, Ontario
M4T 1K3 "