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Get 2013 Scarborough Branch Referees Registration Form

L Telephone (Home) Telephone (Cell) Telephone (Business) Provincial National / FIFA Male Email OSRA Branch Female Year First Joined OSRA Scarborough Signature DoB (dd/mm/yy) 2013 Fee Schedule (make payment directly to the Branch) Full Membership* Under 18 (Born after 31 December 1994)* Associate Membership Fee** $40.00 $25.00 $25.00 *includes appropriate OSRA Provincial Fee and Branch Fee ** Branch Fee only - Must provide proof of Full Membership at another Branch Print TWO (2) Copies.

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