Why should I be a member?
- A subscription to the Ostomy Canada magazine.
- Access to the Ostomy Canada Connects Newsletter.
- Helps fund your local chapter.
- Helps build public awareness locally and nationally.
- Sponsors youth to go to ostomy camp.
- Funds award programs for nurses studying to work with ostomies and ostomates pursuing a post-secondary degree
- Supports funding put into events such as World Ostomy Day and the Stoma Stroll.
- Advocating opportunities to increase ostomy supply funding.
- And more!
Membership Application - Fredericton & District Chapter of Ostomy Canada Society
The following information is kept strictly CONFIDENTIAL. Membership is open to ostomates and non-ostomates.
□ New Member □ Renewal □ Change of Address
Name ___________________________
Address _____________________________Apt. No.____________
City ________________ Province _______Postal Code __________
Phone ________________ Email ____________________________
Birth (dd/mm/yyyy) / / /
Please check all that apply:
□ Colostomy □ Ileostomy □ Urostomy □ J-pouch □ Jejunostomy
Other (Specify) ___________________
If you are not an ostomate, please indicated your connection:
□ Spouse/Family Member _______________
□ Healthcare professional _________________
□ Supplier _______________
□ Other _________________
□ Enclosed are my annual membership dues of $30.00
□ Donation (tax deductible) $ ______________ (Registered Tax # 077568-11).
□ I am unable to pay at this time but would like to be a member.
Make cheque payable to Fredericton & District Chapter of Ostomy Canada Society and mail to:
Mrs. Erin Feicht, President
Fredericton & District Chapter, Ostomy Canada Society
49 Abbott Court, Apt, 402
Fredericton, NB
E3B 5V8
E-transfer money to:
Erin Feicht
ostomy.fredericton@gmail.com
*You can email your application information to the above email address.
The following information is kept strictly CONFIDENTIAL. Membership is open to ostomates and non-ostomates.
□ New Member □ Renewal □ Change of Address
Name ___________________________
Address _____________________________Apt. No.____________
City ________________ Province _______Postal Code __________
Phone ________________ Email ____________________________
Birth (dd/mm/yyyy) / / /
Please check all that apply:
□ Colostomy □ Ileostomy □ Urostomy □ J-pouch □ Jejunostomy
Other (Specify) ___________________
If you are not an ostomate, please indicated your connection:
□ Spouse/Family Member _______________
□ Healthcare professional _________________
□ Supplier _______________
□ Other _________________
□ Enclosed are my annual membership dues of $30.00
□ Donation (tax deductible) $ ______________ (Registered Tax # 077568-11).
□ I am unable to pay at this time but would like to be a member.
Make cheque payable to Fredericton & District Chapter of Ostomy Canada Society and mail to:
Mrs. Erin Feicht, President
Fredericton & District Chapter, Ostomy Canada Society
49 Abbott Court, Apt, 402
Fredericton, NB
E3B 5V8
E-transfer money to:
Erin Feicht
ostomy.fredericton@gmail.com
*You can email your application information to the above email address.
