Riverbend Community League
Membership Application 2010/11
| Member Name 1 | |||||
| Member Name 2 | |||||
| Address | |||||
| Postal Code | Phone | ||||
| Fax | |||||
| Children’s Names | Birthdate (D/M/Y) | Gender (M/F) |
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| Membership Type |
 Family |
$40.00 | |||
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Single (18+ and no children) |
$30.00 | ||||
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Couple (no children) |
$30.00 | ||||
| Amount Paid | $ | Date | |||
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Please confirm that you are a member of the Riverbend Community League. |
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Cheques must be made payable to Riverbend Community League. Memberships expire annually on August 31. Mail form & payment to the community league address given on the "Memberships" page. Form & payment may be dropped off at the Riverbend Community Centre, 258 Rhatigan Rd.East. |
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