The Scandinavian Society of Nova Scotia

S.S.N.S. Membership Form

Have you been referred by a Society member? If so, please give their name:

Referring Society Member:

Name:
Address:

Town/City:
Province/State:
Country:
Postal Code:
Email:
Home Telephone:
Work Telephone:
Home Fax:
Work Fax:

Check all of the countries of interest or origin that apply:

Denmark Finland Iceland Norway Sweden

Check Type of Membership requested:

Individual Family Student Corporate

If applying for a student membership, what is the name of the academic institution that you attend?

Academic Institution:

If applying for a corporate membership, what is the name of your business?

Business Name:

If applying for a family membership, how many children do you have?

One Two Three Four or more

To help us inform you about interesting activities and events for your children that involve specific age groups, please give their first names and year of birth below:

Thank you for filling out our membership form. If you have any questions, concerns or know of someone who might like to receive information about the Scandinavian Society of Nova Scotia, please feel free to fill out the area given below: