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MCA Membership 2022
Please complete for each member of your household.
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Address
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Your answer
Adult 1: Name (First and Last)
*
Your answer
Adult 1: email address
*
Your answer
Adult 1: Preferred Phone Number to Contact
*
Your answer
Membership
*
Yes
No - REMOVE FROM LIST
$10 payment cash/cheque or transfer to mcafees@munsteronline.ca
Cash/Cheque - canvassers will stop by to collect during membership drive
Etransfer to
mcafees@munsteronline.ca
- please put your address in the message!!!
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Adult 2: Name (First and Last), Phone Number and email address
Your answer
Adult 2: Email address
Your answer
Adult 2: Preferred Phone Number to Contact
Your answer
Adult 3: Name (First and Last)
Your answer
Adult 3: Email Address
Your answer
Adult 3: Preferred Phone Number to Contact
Your answer
Adult 4: Name (First and Last)
Your answer
Adult 4: Email Address
Your answer
Adult 4: Preferred Number to Contact
Your answer
Child 1:Name (First and Last)
Your answer
Child 1: Month and Year of birth
Your answer
Child 1:
Babysitter
Completed Babysitting course
Other:
Child 2:Name (First and Last)
Your answer
Child 2: Month and Year of Birth
Your answer
Child 2:
Babysitter
Completed Babysitter course
Other:
Child 3:Name (First and Last)
Your answer
Child 3: Month and Year of Birth
Your answer
Child 3
Babysitter
Completed Babysitting Course
Other:
Child 4:Name (First and Last)
Your answer
Child 4: Month and Year of Birth
Your answer
Child 4
Babysitter
Completed Babysitting course
Other:
Do you want a hard copy of the quarterly newsletter
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