Ontario Wine Society - Printer Friendly Gift Membership Form

Ontario Wine Society

Gift Membership Order Form

Gift Membership cost: $40.00

Please complete this form and send it with your cheque to the address indicated below for your Chapter selection.

Note: The gifts will be sent asap as you have instructed,
but please allow at least two weeks for processing.

Gift Membership Recipient's Information

Last Name:

First Name:

Street Address:

City:

Postal Code:

E-mail Address:

The Ontario Wine Society prefers to send mailings to members via e-mail. If you feel that the recipient would approve of you providing their e-mail address and receiving mailings via e-mail, please enter it above. Otherwise they will receive mails via regular mail.

For which OWS Chapter are you purchasing the membership?

° Toronto Chapter The Ontario Wine Society Toronto Chapter P.O. 519, Station K Toronto, Ontario M4P 2G9	° Niagara Chapter Ontario Wine Society Niagara Chapter PO Box 381 Vineland, Ontario L0R 2C0
° Oakville Chapter The Ontario Wine Society - Oakville Chapter P. O. Box 219 Georgetown, Ontario L7G 4Y5

Purchaser's Information

Last Name:

First Name:

Address:

Telephone - Home:

Telephone - Work:

Email Address:

Send gift membership to (please check one only):

° Recipient ° Purchaser

Special Instructions: