I wish to become a Companion of The Ulyssean Society for the year 2011.
I attach a cheque or money order for ________

NAME:  _____________________________________________________

ADDRESS:  __________________________________________________

____________________________________________________________

TELEPHONE
Home:  _____________________________________________________

Business:  _________________________________________________

CONTRIBUTION:  $_________________

Please make cheque payable to:  The Ulyssean Society

SUGGESTED SCHEDULE:  Single:  $70-$100, Couple:  $125-$200
 

Charitable Registration No. BN 11993 1699 RR0001. A receipt will be promptly mailed to you.

For additional information please click on the link below:

Secretary
The Ulyssean Society