Club 2250 MEMBERSHIP FORM Last Name: __________________________________________ His First Name: _______________________________________ Her First Name: ______________________________________ Address: _____________________________________________ City:_________________________________________________ Province: ____________________________________________ Postal Code: _________________________________________ Phone (____) _________________________________________ E-Mail: ______________________________________________
Make cheques payable to:
CLUB 2250 ONCE A MEMBERSHIP HAS BEEN PURCHASED *Club 2250 reserves the right to change the location of the club at anytime. Existing Club 2250 memberships would be honoured. |