INTERMEDIATE ANNUAL MEMBERSHIP REGISTRATION
Use this form to register your membership for the coming season.
Name *
Your answer
Address *
(Including Postal Code)
Your answer
Phone - Home
Your answer
Phone - Cell
Your answer
E-mail *
Your answer
Birth Date *
MM
/
DD
/
YYYY
Payment Details
A credit card is required on Annual Memberships and will be charged monthly for any account balance.
Credit Card Number *
Your answer
Expiry Date *
(MM/YY)
Your answer
CSC *
The 3 digit code on the back of the credit card.
Your answer
Payment Details - Annual Dues *
Annual Dues charged to a credit card are subject to a 2% transaction fee. Charge Accounts are not subject to the fee.
Submit
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