2024 MEMBERSHIP FORM One Form For Each Member Please

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ALL INFORMATION IS PRIVY TO THE BOARD MEMBERS ONLY

Please complete all sections of this form.

Complimentary Membership: Under 16 years and over 90 years
Adult Member Renewal ( 17 years to 89 years) : $20 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 ETRANSFER: 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.)

Email *

FIRST NAME *

LAST NAME *

DATE OF BIRTH

YYYY

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