HOMA Civic Association Membership Form

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Email *

First Name *

Last Name *

Mailing Address *

City *

Province *

Postal Code *

Phone number

What is your Telegram ID?

I am interested in the following activities (Choose all that apply):

Event organization

Membership and fundraising

Sports (playing/Coaching/events/etc.)

Arts and crafts

Culinary arts (Cooking/Baking/Food decoration)

Cultural programs(Music/Literature/Performance)

Other:

Date *

YYYY

Signature
I confirm the provided information and by clicking on the "YES", I agree to release my information to HOMA Civic Association.
*

Yes

A copy of your responses will be emailed to the address you provided.

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