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Membership Form
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* Indicates required question
Email
*
Your email
Name
Your answer
Street Address/PO Box
Your answer
City
Your answer
Province
Your answer
Postal Code
Your answer
Telephone
Your answer
Membership Type
Regular ($15)
Family ($20)
Senior ($10)
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Signature
Your answer
Date
MM
/
DD
/
YYYY
Paid by:
Cash
Cheque
POS
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Amount Paid
Your answer
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