Irricana & District Agricultural Society Membership Form

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Membership Form for 2021-22
Irricana and District Agricultural Society
P.O. Box 194
Irricana, Alberta, T0M 1B0
www.irricanaagsociety.com
info@irricanaagsociety.com

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電子郵件 *

Last Name: *

First Name: *

Address-Both Mailing and Physical *

City: *

Province: *

Postal Code: *

Home Phone Number:

Cell Phone Number:

Annual Fees - $ 15.00 Individual, Family Rate $40.00 Payment Type: Cheques payable to Irricana & District Agricultural Society, E-Transfer email treasurer@irricanaagsociety.com *

For Family Memberships - Please list all family members by name and adult or junior member. (Junior members are 17 and under)

What areas of interest do you utilize with the Irricana & District Agricultural Society?

General Member

Curling

Riding Arena

Rec Complex

其他：

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