Membership Application Form

Your name

Known as

Birth (month and day)

Spouse or Partner name

Address (please include Street number, Apartment or Suite number)

City, Town

Postal Code

Phone (please include area code)

Your email (for executive committee use only)

Former Vocation or Field of Interest

Emergency Contact Name

Emergency Contact Phone (please include area code)

Emergency Contact Relationship to member SpouseSonDaughterCousinOther

Annual Membership fee is $75.00. There is a one-time initiation fee of $20 which includes your membership badge. Membership renewal date is September 1st with the fiscal year being from September 1st to August 31st. If a member joins after February 1st, the annual membership fee will be reduced to $37.50 for that year. Please mail membership application and cheque made payable to Aurora York Central PROBUS, P.O Box 28504, Unit 151-14900 Yonge Street, Ont. L4G 6S6. If preferred, an e-transfer can be directed to our treasurer, Marie Wallace at emmw1953@gmail.com.

PROBUS runs on its volunteers. Without member participation, there would be no PROBUS.
Your participation can take the form of; sharing your expertise by organizing or helping to organize club activities, phoning or emailing reminders of upcoming meetings or special events, photographing meetings and events, helping the Dining Out, Bridge, Book, Euchre and Theatre clubs, as well as facilitating social contact among the membership, serving on the club's executive team is another option and of course showing your support by participating in club activities.

1. I give my consent to include my name, address and telephone number on the Membership List which will be distributed only to the members of Aurora York Central PROBUS. yesno

2. I give my consent to include my name and photograph in the Aurora York Central PROBUS newsletter and on our website. yesno

3. The continued success of our club is dependent on its members' participation and help with the many volunteer duties required. It's what makes a great club. Would you like to help make your club a fun place to be by becoming a Volunteer? yes

Applicant Signature

Date

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