Please print this page and mail with payment to: ORLA Box 3210, Station D. Ottawa, ON K1P 6H7 Membership inquiries: (613) 238-1850 Make your Cheque Payable To: ORLA YOUR CANCELLED CHEQUE IS YOUR RECEIPT Note: that No Action will be taken until the cheque is received in the mail. New Member _____ Renewing Member_____ Subscriber _____ Membership: ____ FULL Membership Fee: (with meals) $300 per year ____ ASSOCIATE Membership: (no meals) $180 per year Company Name: ________________________________________________________ Number of Buildings: _________________________________________________ Number of Units: _____________________________________________________ First Name: __________________________________________________________ Last Name: ___________________________________________________________ Email: _______________________________________________________________ Street Address: ______________________________________________________ City: _____________________________________ Province: ___________ Country:___________________________________ Postal Code:__________ Phone: ____________________________________ Fax: _________________ Comments or Questions? _______________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ Signature: _________________________________ Date: _______________