The Winnipeg Ostomy Association


How to Join the W.O.A? (May 5/15)


Please print this form and mail to:
W.O.A.,
c/o P.O. Box 158,
Pine Falls, Manitoba,
Canada R0E 1M0


Please enroll me as a member of the Winnipeg Ostomy Association. I am enclosing the annual membership fee of C$40.00. W.O.A. members receive the Chapter newsletter Inside/Out, become supporters of Ostomy Canada and receive the Ostomy Canada magazine.

Please note that this form is for new members only. Current members please wait for your green membership renewal form to arrive in the mail. Your renewal date is printed on your membership card.


I am enclosing annual membership dues of C$40.00 ______
Name.........................................................

Address......................................................

City ..........................Province .....................

Postal Code ...................Phone ......................

Email Address................................................

Type of Surgery ............................................. 

Year of Birth .................
Please make cheque payable to the "Winnipeg Ostomy Association."


Return to WOA Home Page
Return to The WOA's Info Page
Last updated May 5, 2015. Comments to: Mike Leverick