A-IAC 2023 ADULT MEMBERSHIP FORM One Form For Each Member

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ALL INFORMATION IS PRIVY TO THE BOARD MEMBERS ONLY

Please complete all sections of this form.

Complimentary Membership: Age 90 and over
Adult Member Renewal : $25 per person
Adult New Member 17 years+: $25 per person

TO PAY BY CHEQUE write it out to:

'The Anglo-Indian Association of Canada' (no abbreviations please)

MAIL YOUR CHEQUE to the address below:

The Anglo-Indian Association of Canada

6471 Longspur Road,

Mississauga, ON

L5N 6E4

TO PAY BY E-TRANSFER: aiac02009@gmail.com and list the full names of the members being paid for in the message section of the E-Transfer.

You should receive an automatic email acknowledgement once you complete this form. (Please check your spam mail too.)

If you have paid your fee already, we THANK YOU!!

Email *

EMAIL ADDRESS *

FIRST NAME *

LAST NAME *

DATE OF BIRTH *

YYYY

DO I WANT MY BIRTHDAY PUBLISHED IN THE MONTHLY BIRTHDAY CARD SENT TO MEMBERS? *

YES

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