Registration Form
    For members in North, Central and South America

    Please print and fill out the form below and mail it to us with
    your cheque of US$50.00 or C$70.00 payable to :
    Jdeidet Marjeyoun Club
    c/o H. Y. Hashem
    14-1032 Dakota Ae.
    Ottawa, Ontario
    K1G 2W2
    Canada

    Extra Donations are welcome.

    Full Name:

    Profession:

    Year of graduation:

    Or

    Period spent at our school:

    Mailing address:

    e-mail address:
    Fax :
    Telephone :