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| 2006/07 |
| Membership Application
Form |
| print out this form, complete it, and send it
in. |
| CASH OR CHEQUE ONLY |
Family Membership (
registered with BCSF)
Family Membership includes 2 decals. |
cost $100.00 |
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| Additional decals x
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each $25.00 |
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Single Membership (
registered with BCSF)
Single Membership includes 1 decal. |
cost $75.00 |
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| Senior Citizen Status
(over 65 years of age) |
Y or N |
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| Date: |
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| Your
Name: |
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| Phone
Number: |
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| Mailing
Address: |
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| City: |
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| Postal Code: |
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| E-mail
Address: |
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| Additional person (usually
spouse) Name of insured family member (if Family Membership
taken) |
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| Spouse First Name: |
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| Spouse Surname: |
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| Additional family member names
(children under the age of 19 still living at home) |
| First
Name: |
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Surname: |
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| First
Name: |
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Surname: |
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| First
Name: |
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Surname: |
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| First
Name: |
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Surname: |
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| Signature:________________ |
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| Please complete form and
remittance of $ |
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payable to: |
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Prince George
Snowmobile Club
C/O Membership Director
PO Box 22111
Prince George, BC
V2N 4Z8
Appropriate forms will
be mailed back to you. |
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| Membership is
good for 1 year from October 1st to September 30th |
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For office use only:
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Decal Issued: |
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Membership Card: |
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BCSF: |
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Map: |
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Voting Member: |
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Non-Voting: |
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Decal forms: |
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Type S/F: |
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