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(613) 447-0361 president@ottawaostomy.com

Membership Application for Ottawa Ostomy Support Group - (New & Renew)

Membership is open to all ostomates, family members, medical and health care professionals, ostomy equipment suppliers and any other interested persons


 
 
Choosing to receive your newsletter and or renewal notices reduces our mailing costs

Would you like to receive your newsletters by email: YesNo

Would you like to receive your invoice by email: YesNo
 
 
Check all that apply

New MemberRenewing Member

MaleFemaleMD, ET, Supplier, Spouse

ColostomyUrinary DiversionContinent UrostomyIleoanal PouchIleostomyContinent Ileostomy
 
 

 
 
Ottawa Ostomy Support Group Membership: $20.00
Includes 1 year membership in the Ottawa Ostomy Support Group and our newsletter (9 editions annually)

Ostomy Canada Society & Ottawa Ostomy Support Group Membership: $40.00
Includes 1 year membership in Ottawa Ostomy Support Group, a monthly newsletter, membership in Ostomy Canada Society and 2 issues of the Ostomy Canada Magazine (Spring & Fall)

 

 
 
* Please no post-dated cheques
** Tax Receipt is issued for donations greater than $10
*** Make cheque payable and mail to: OOSG: P.O. Box 11134, Station H, Ottawa, ON K2H 7T8

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