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Thompson Valley Rock Club Membership Form
Membership application - includes membership into the BC Lapidary Society
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* Indicates required question
Date
*
MM
/
DD
/
YYYY
Type of membership
*
Single (one person, adult) $20
Family (two adults) (also can include minor children OR minor grandchildren) $30
Single Parent family (one adult and minor children) $30
Name(s) (first, last)
*
Your answer
Minor children/grandchildren's names (first, last) & age should you wish to include
Your answer
Address
Your answer
Phone number
*
Your answer
Email
*
Your answer
Additional Emails (e.g., spouse - indicate who)
Your answer
Membership published
*
ok to have my info appearing in both the club & BCLS membership directory
do not wish to have info appear in both the club & BCLS membership directory
ok to have my info in the club, but do not want in the BCLS directory
ok to have my info in the BCLS, but do not want it in the club directory
type of payment
*
e-transfer (make out to
sudsysr@gmail.com
- include your name in the messages column)
have already paid for the year and am updating info
have paid in person at shop and am filling out form online
have paid in person at meeting and am filling out form online
have paid in person at an event and am filling out form online
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