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Membership Form - 2022
TAWBAS Online Membership Application
*
Indicates required field
Applicant
and contact information
Name
*
First
Last
Address
*
Town / City
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Prov/State
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Postal Code
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Select One
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Individual (25.00)
Youth (0.00)
Corporation (100.00)
Email
*
Contact Phone
*
Membership Fees - 2022
Paid before May 31, 2022 (expires Dec 31, 2022)
Individual ... $ 25.00 - over 18 yrs old
Youth ... 0.00 - under 18 years old
Corporate ... 100.00
Payment Method
Payment
*
Email or Interact transfer (send to: pay.tawbas@tawbas.ca)
Credit Card (email or call in details)
Cheque (mailing in)
Email will be sent to you confirming your payment selection.
E-Transfers to:
pay.tawbas@tawbas.ca
Additional Family Members
Name 1
*
Select (name 1)
*
Individual (25.00)
Youth (free)
Corporation (150.00)
Name 2
*
Select (name 2)
*
Individual (25.00)
Youth (free)
Name 3
*
Select (name 3)
*
Individual (25.00)
Youth (free)
Name 4
*
Select (name 4)
*
Individual (25.00)
Youth (free)
Name 5
*
Select (name 5)
*
Individual (25.00)
Youth (free)
Name 6
*
Select (name 6)
*
Individual (25.00)
Youth (free)
Email notices and correspondence
Choose One
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.. I / We agree to receive email notices from TAWBAS
.. I / We prefer NOT to received email notices from TAWBAS
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