New Application____ Renewal ____ Information Changes ____
Name of Member_________________________________Call Sign___________
(Please Print Name above Line)
Name of Spouse (optional)____________________________ (we try to include spouses in social activities)
Address____________________________________________________________
City_____________________ Province__________ Post Code____________
Preferred Phone Number: __________________
EMAIL ADDRESS_____________________________________________________
Year First Licensed _______ Class of License________________________________
SCHEDULE OF FEES
FULL MEMBER.................................. $ 15.00 Per Year
FAMILY VOTING MEMBER............. $ 5.00 Per Year
NON VOTING ASSOCIATE.............. $ 15.00 Per Year
NON VOTING FAMILY..................... $ 5.00 Per Year
CLUB NAME BADGE WITH CALLSIGN..........$ 9.00
DONATIONS...For More Fun.............. $ __.__
TOTAL FEES ATTACHED $ ______
MEMBERSHIP FEES RENEWABLE SEPTEMBER 1st of each year.
CHEQUES or MONEY ORDERS PAYABLE TO:
CALGARY COMMUNICATIONS CLUB
C/O 3112-39 St. SE
Calgary, Alta. T2B 1B1
eTransfers and this application form can be e-mailed to: treasurer@ccc.myrac.ca
Receipts issued at Sunridge Mall Coffee on Saturday mornings or at General Meetings to save postage expenses.
__________________________________________________________________
Do Not Mark below this line For OFFICE USE ONLY
CHEQUE_____ MONEY ORDER _____ CASH _____ AMOUNT $_____.____
Receipt Number Issued 20-_____