Name:________________________________________________________________

Address:______________________________________________________________

Municipality:__________________________________________

Province/Territory/State:_______________________________________

Postal/Zip Code:____________________________________

Phone Number:______________________________________

Fax Number:________________________________________

E-mail address (we do not sell or publish): ______________________________

Membership Renewal: ____________ New Member: __________


If you are affiliated with a mill, please give us some information about your mill such as location and web site.

Membership Fee $20.00 (Canadian funds) per person

Please Make Your Cheque Payable to Canadian Chapter of SPOOM

To join us, print out and mail this completed form with your cheque PAYABLE TO:

Maryanne Szuck, Treasurer
Canadian Chapter of SPOOM
93 Woolwich St. Box 352
Breslau, Ontario
N0B 1M0