Membership
Wild Rose Old Tyme Fiddlers Association
| Membership Form | Renewal Years | Amount Pd. |
| Name: | Nov. 1/2008 to Oct. 31/2009 | ______ |
| Address: | Nov. 1/2009 to Oct. 31/2010 | ______ |
| City: | Nov. 1/2010 to Oct. 31/2011 | ______ |
| Postal Code: | Nov. 1/2011 to Oct. 31/2012 | ______ |
| Phone Number: | Nov. 1/2012 to Oct. 31/2013 | ______ |
| Email address: | Nov. 1/2013 to Oct. 31/2014 | ______ |
| Do you wish to receive
correspondence by email when possible? yes____ no____ |
||
|
Honorary Member: Your name and contact information will be included on a
membership list which is distributed to members on the board and
committee members of the Wild Rose Old Tyme Fiddlers
Association. This information is used for things like mailing
newsletters, contacting musicians to see if they would like to
entertain for the association, or contacting volunteers for any of the
club's activities. I, hereby consent to the collection and use of the
personal information above to be distributed to executive and committee
members of the Wild Rose Old Tyme Fiddlers Association. Renewal of my membership each
year, constitutes permission to use this information until I inform the
club in writing, that I do not wish my personal information distributed
as stated above. _________________________________ _________________________ Signature
of applicant, parent or guardian
Date Please mail your completed membership application form to the address below along with a $12.00 membership fee for each new membership or renewal. Membership runs from November 1 to October 31 each year Cheque can be made payable to Wild Rose Old Tyme
Fiddlers Association
and mailed to: WROTFA
#1588-5328 Calgary Trail, Edmonton, AB, T6H 4J8
|
||