FORMULAIRE D’ INSCRIPTION

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

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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

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