MEMBERSHIP APPLICATION

NEW RENEWAL

LAST NAME: FIRST NAME:

ADDRESS:

CITY: POSTAL CODE:

TELEPHONE NO: ( ) FAX: ( )

E-MAIL:

NICKNAME: SPOUSE’S NAME:

AIRBORNE/GLIDER UNITS SERVED WITH: (Name/Dates)

IF RENEWAL – YEARS MEMBER OF BORNEWEST:

MEMBERSHIP RUNS FROM 15 JUNE TO 15 JUNE EACH YEAR.

MEMBERSHIP FEE IS $10.00 ANNUALLY.

AMOUNT ENCLOSED:

TO BECOME A MEMBER OF BORNEWEST YOU MUST HAVE BEEN A QUALIFIED PARATROOPER/JUMPER OR GLIDER CREW DURING YOUR MILITARY CAREER.

SEND YOUR MEMBERSHIP APPLICATION WITH YOUR CHEQUE OR MONEY ORDER TO:

BORNEWEST

CAFA BR # 8

BOX 1064

STN VEDDER CROSSING

CHILLIWACK BC V2R 3N7

HELP YOUR ASSOCIATION GROW – MAKE COPIES OF THIS APPLICATION AND PASS THEM ON TO YOUR AIRBORNE FRIENDS OR HANG THEM ON YOUR SERVICE CLUBS NOTICE BOARD FOR OTHER AIRBORNE COMRADES TO COMPLETE.

DONATIONS APPRECIATED THANK YOU			AMOUNT:
FOR OFFICE USE ONLY (Initial and Date)
DUES PAID	MAILING LIST	NOMINAL ROLE		MEMBERSHIP LIST	CARD ISSUED AND NUMBER