The Grande Prairie and District Oldtimers’...
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Application for Membership for Succeeding Generations Applicant’s Name: ___________________________________________________________________________________________ Address: ___________________________________________________________________________________________________ Town/City/Province: _______________________________________________________Postal Code_________________________ Phone Number: H_________________________________________ C_________________________________________________ Email: _____________________________________________________________________________________________________ Date of Birth: _______________________________________________________________________________________________ List the Pioneer(s), your relationship to the Pioneer(s), and by which Trail and date the Pioneer(s) arrived to the Grande Prairie District. ___________________________________________________________________________________________________________ ___________________________________________________________________________________________________________ ___________________________________________________________________________________________________________ ___________________________________________________________________________________________________________ Fee: $20.00 Lifetime Membership ❑ Cheque ❑ Cash I hereby make application for membership in the Grande Prairie & District Oldtimers’ Association, and, upon being accepted, agree to uphold the By-Laws of the Association. ___________________________________________________________________________________________________________ Signature Date If you have any questions regarding this application please contact Bob Patterson at 780-814-7317. Box 21028, Grande Prairie, AB T8V 6W7 • [email protected] www.gpoldtimers.ca The Grande Prairie and District Oldtimers’ Association
Transcript of The Grande Prairie and District Oldtimers’...
Application for Membership for Succeeding Generations
Applicant’s Name: ___________________________________________________________________________________________
Address: ___________________________________________________________________________________________________
Town/City/Province: _______________________________________________________Postal Code_________________________
Phone Number: H_________________________________________ C_________________________________________________
Email: _____________________________________________________________________________________________________
Date of Birth: _______________________________________________________________________________________________
List the Pioneer(s), your relationship to the Pioneer(s), and by which Trail and date the Pioneer(s) arrived to the Grande PrairieDistrict.
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
Fee: $20.00 Lifetime Membership ❑ Cheque ❑ Cash
I hereby make application for membership in the Grande Prairie & District Oldtimers’ Association, and, upon being accepted, agreeto uphold the By-Laws of the Association.
___________________________________________________________________________________________________________Signature Date
If you have any questions regarding this application please contact Bob Patterson at 780-814-7317.
Box 21028, Grande Prairie, AB T8V 6W7 • [email protected]
www.gpoldtimers.ca
The Grande Prairie and DistrictOldtimers’ Association
