| Make
cheques payable to OCOA. Give to local OCOA Rep or mail to: OCOA c/o Duncan Hall R.R. 2, Aylmer, ON N5H 2R2 |
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| [ ] Full Membership $100.00 |
Ontario Conservation Officer or Retired Member who is a member in good standing who's primary appointment is (current) or was (retired) that of a Conservation Officer. | ||||||
| [ ] Retiree Member $100.00 |
Retired Full Member who pays the Full Membership dues, and who wishes special designation as a retiree with full voting privileges and the right to hold office or committee postions. | ||||||
| [ ] Associate Member $50.00 |
Deputy Conservation Officer and other law enforcement officer involved in the protection of natural resources, including supplemental Conservation Officer appointments, who meet the criteria for associate membership or a retired Ontario Conservation Officer who was an O.C.O.A. member in good standing during the year in which retirement occurred. This membership carries no voting rights unless designated. Associate members are not eligible to run for executive office or committee postions. | ||||||
| [ ] Check if membership information is the same as last year, and include e-mail address. | |||||||
| Surname: | G1: | G2: | |||||
| Spouse Name: | |||||||
| Mailing Address: | |||||||
| City/Prov.: | Postal Code: | ||||||
| Home Phone: | Work Phone: | ||||||
| Home e-mail: | Work e-mail: | ||||||
| Employer: | District/Location: | ||||||
| C.O. Badge #: | D.C.O Badge#:_____ | PW Badge#: | |||||
| Other Badge# and type: | |||||||
| Name of Sponsoring Member: | Only required for initial Associate Membership Application | ||||||
| Signature of Sponsoring Member: X___________________ | Only required for initial Associate Membership Application | ||||||
| Office Use Only | $$ Received: | Receipt# | |||||
| Date Received: | Member# | Date Entererd: | |||||