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MEMBERSHIP APPLICATION FORM
I/We__________________________________________________________________
wish to join the Anglo-Indian Recreational Club and enclose herewith my/our
cheque for $12.00 in payment of my/our annual membership fee.
I/We understand that this subscription is applicable to a calendar year, and the renewal fee due in January of the following year, will be pro-rated accordingly.
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HUSBAND: SURNAME:__________________________ ORIGINALLY FROM __________________ SCHOOL(S)__________________________ ____________________________________ ____________________________________
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WIFE: GIVEN NAME__________________________ MAIDEN NAME:________________________ ORIGINALLY FROM ____________________ SCHOOLS(S)___________________________ ______________________________________ ______________________________________ |
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CURRENT ADDRESS:______________________________________________________________ ________________________________________________________________________________ PHONE NO: ( )________________________________ FAX NO: ( )_________________________ E-MAIL ADDRESS (If Applicable)_____________________________________________________
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PLEASE MAKE CHEQUES OUT TO THE "ANGLO-INDIAN RECREATIONAL CLUB" AND MAIL TO:
Rhyllis McCarthy,
4110 West 10th Avenue,
Vancouver, B.C.
V6R 2H3
Ph: (604) 222-2189
Note: The above form should be "cut and pasted" into an MS Word document in order to print and fill it out.