Ontario Confederation of Motorcyclist
Support Directory Form

Name of Business: ____________________________________________________________

Contact Name: _______________________________________

Address: _____________________________________________________________________

City: ______________Prov.: _____________Postal Code: _____________

Phone: _____________________Fax: _____________________

Web Site : http://___________________________EMail Address: __________________

Services Available:___________________________________________________________

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Hours of Operation: __________________________________________________________

Description of Services: _____________________________________________________

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Please make Support Cheques payable to:
The Ontario Confederation of Motorcyclist
And mail with a copy of this information sheet to:

The Ontario Confederation of Motorcyclist
1215 Ouellette Avenue
PO Box 52053 Giles PO
Windsor, ON, N8X 1J0