Membership
Wild Rose Old Tyme Fiddlers Association
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Check when completed - then file form in membership binder at Pleasantview Receipt sent______ Membership card given______ Bylaws sent to Member______ Added to Membership List______ Add to email (if applicable)______ |
| Membership Form | Renewal Years | Amount Pd. |
| Name: | Nov. 1/2011 to Oct. 31/2012 | ______ |
| Address: | Nov. 1/2012 to Oct. 31/2013 | ______ |
| City: | Nov. 1/2013 to Oct. 31/2014 | ______ |
| Postal Code: | Nov. 1/2014 to Oct. 31/2015 | ______ |
| Phone Number: | Nov. 1/2015 to Oct. 31/2016 | ______ |
| Email address: | Nov. 1/2016 to Oct. 31/2017 | ______ |
| Do you wish to receive
correspondence by email when possible? yes____ no____ |
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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
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