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2021 Chaine Edmonton Members List
This form is used to make sure your current Chaine Edmonton Membership info is up to date. Thank you in Advance!
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Email
*
Your email
Last Name
*
Your answer
First Name
*
Your answer
Name of Spouse/Partner
Your answer
Home Address
Your answer
City
Your answer
Postal Code
Your answer
Home Phone (123-456-7890)
*
Your answer
Business Phone
Your answer
Cell Phone ( If no cell phone please use home number)
*
Your answer
Email
*
Your answer
Type of Membership Payment
Chevalier/Dame ($150 + Local Fee $0)
Professional ($0 + Local Fee $0)
Spousal Membership ($100 + Local Fee $0)
Senior Membership (Over 75 Years of Age and 20 Years Membership) = $100+ $0 Local Fee
New Member (Joined in 2020 or 2021- Just pay $90)
Youth Membership ( $90 )
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