Port Perry Seniors Club Membership 2023-2024

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Welcome to the online Membership Application for Port Perry Seniors Club.

Please provide your most current contact information so that we may stay in touch and keep you informed with news from the Club.

In this first section, we will be asking for your contact information.

Once you have completed this section, click NEXT at the bottom of the page to continue.

Are you a new or returning member?

If you paid for a 2022-2023 membership with us last year, please renew your membership below.
If you were not a paid member in the previous Club Year, please fill out the form as a new member.
The Club Year is September 1st to August 31st.
Memberships are renewed every September.

New Member

Membership Renewal

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First Name

Please provide us with your given name.

Last Name

Please provide us with you last name.

Email Address

Phone Number

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