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STUDENT MEMBERSHIP Educate yourself about herbs and support the organization that educates Canadians about Herbalism Yes! I want to become a member today for only $45.00 plus $5.85 HST = $ 50.85 Total Name: ___________________________________________ Address: _________________________________________ City: ________________________________ Postal Code: __________________ Telephone: _______________________ Fax: _______________________ How did you find out about us? Name: ___________________________________________ Address: _________________________________________ City: ________________________________ Postal Code: __________________ Telephone: _______________________ Fax: _______________________ E-mail: _____________________________________________ Total $ enclosed: __________________ By signing this application form, I consent to my personal information being collected for OHA documents only and for the purpose of member activities and communications. My information will not to be used for any other purposes unless permission is given in writing. SIGNATURE_________________________ DATE______________________ When you send a gift membership, the recipient will receive a copy of the latest issue of |
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