Prov:
Address:
Renewing Member:
Email
PC:
City:
Colostomy
Ileostomy
Continent Ileostomy
Male
MD, ET, Supplier, Spouse, Etc.
Continent Urostomy
Ileoanal Pouch
New Member:
Yes
Phone #
Name
No
No
Would you like to receive your invoice by email
Yes
CHECK ALL THAT APPLY:  
Would you like to receive your newsletters by email
Female
Total: $
Donation for the Chapter: $
Yearly Membership Dues: $
How did you learn about OOSG
Choosing to receive your newsletter and or renewal notices reduces our mailing costs
Tax receipt will be issued donations for donations greater than $10.00
Urinary Diversion
Make cheque payable and mail to: OOSG: P.O. Box 11134, Station H, Ottawa, ON K2H 7T8
Ottawa Ostomy Support Group (OOSG) Membership: $20.00
Membership is open to all ostomates, family members, medical and health care professionals, ostomy equipment suppliers and any other interested persons
Includes 1 year membership in the Ottawa Ostomy Support Group and our newsletter (9 editions annually)
Ostomy Canada Society & Ottawa Ostomy Support Group Memberships $40
and 2 issues of the Ostomy Canada Magazine (Spring and Fall)
Includes 1 year membership in Ottawa Ostomy Support Group, a monthly newsletter, membership in Ostomy Canada Society