Thompson Valley Rock Club Membership Form

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Membership application - please note that some

Type of membership *

Single (one person, adult) $25

Family (two adults) (also can include minor children OR minor grandchildren) $40

Single Parent family (one adult and minor children) $30

Membership status

New member

Returning/current member

Clear selection

Name(s) (e.g., Smith, John & Mary) *

Mailing address

City

Postal code

Phone number *

Email *

Additional Emails (e.g., spouse - indicate who)

Minor children/grandchildren's names (e.g., Smith, Asher & Brown, Leslie) & age should you wish to include

Membership published *

ok to have my info appearing in both the club & BCLS membership directory

do not wish to have info appear in both the club & BCLS membership directory

ok to have my info in the club, but do not want in the BCLS directory

ok to have my info in the BCLS, but do not want it in the club directory

type of payment *

e-transfer (make out to mjwaithe@shaw.ca - include your name in the messages column)

have already paid for the year and am updating info

have paid in person at shop and am filling out form online

have paid in person at meeting and am filling out form online

have paid in person at an event and am filling out form online

Submit

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