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Membership

Wild Rose Old Tyme Fiddlers Association

A word version and pdf version of this form is also available.
 
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
( parent or guardian if member under the age of 18.)

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