FORMULAIRE D’ INSCRIPTION

Nom/Last Name Prénom/First Name
Date de Naissance/Birthdate
Conjoint/Spouse Date de Naissance/Birthdate

_ EE

Adresse/Address
Code Postal/Postal Code Tél. Maison/Home
Tél. Travail/Work
Enfants/Children: Prénom/First Name Date de Naissance/Birthdate
Intéréts/Interests
Type d’adhésion/Type of membership:
Couple ou famille/Couple or family $20. - Individuelle/Individual $15,
Etudiant ou Age d’or/Student or Senior $10. - Couple age d’or/Senior couple $15.
Service en francais disponible
Reservations 1-800-561-5002 SAR FRENCH IMMERSION
° Telephone (250) 374-S911 a PRESCHOOL
Fax (250) 374-6922 A AND
The Best Value under The Sun= ° } DAYCA
MAYTYCARE
Roger Martin
Director of Sales 348 Fortune Drive ne
1285 West Trans Canada Hwy., Kamloops, B.C. war’ que
Kamloops, British Columbia V2E 2J7, Canada (604) 376-8660 wien’

Box 243 Main Station
Kamloops, B.C. V2C 5K6

Provincial Construction

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JEAN-MARIE BERNARDET
(604) 577-3287