I wish to join COSCO as an associate member and I enclose a $25 membership fee
I wish to make a donation to COSCO ?
please find enclosed a cheque for $__________
Name____________________________
Address__________________________________________
Postal Code_____________________________
Date________________________________
Signature________________________________
Please make cheque payable to
COUNCIL OF SENIOR CITIZEN'S ORGANIZATIONS OF BC
and send to
Ernie Bayer (Membership Secretary)
6079 184 A Street
Surrey, BC V3S 7P7
Phone 604 576 9734
Printable Form ( pdf )
