Membership Information
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New Membership   Renewal

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Food Allergies ?


Event Suggestions
Got any ideas for future events? Let us know!
Please try to provide us with as much information as possible. (eg. places, addresses, phone numbers?)

VIP Club
I would be interested in being on the following committee(s):
Ambassador Assistant

How would you like to pay for your Membership?
  I will send a cheque.
  Please call me for my Credit Card number.
  I will pay at the next Networking event.

Membership Conditions
Please read the following conditions of registration carefully:

I have read the above and agree to abide by these conditions.*

The Singles Mosaic
Phone: (905) 333-4498 or (888) 334-4449
Events Hotline: (905) 333-9149 | Fax: (905) 333-4992
E-mail: singles.mosaic@cogeco.ca

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