Send Membership Request to:
Funeral Advisory and Memorial Society of Saskatchewan
P.O. Box 1846, Saskatoon S7K 3S2

NAME (s) _____________________________________________________________

ADDRESS _____________________________________________________________

CITY ___________________________ [    ] LIFE MEMBERSHIP(S) @ $25.00 per person

POSTAL CODE _________________   TELEPHONE __________________________

[    ] I wish to assist in the work of the Society with a donation
                     [   ] $20 [   ] $30 [   ] $50 [   ] $100

[    ] I wish to distribute pamphlets

AMOUNT ENCLOSED $_______

Please allow ten days to two weeks for delivery of your membership kit.  Thank you.
0212