Membership Request Form

Complete this form and mail it with your cheque to :

Memberships c/o Zian Chen
11216 - 53 Ave
T6H 0S5
780-433-8785
Edm, Ab

                                        Name :________________________
                                        Address:______________________
                                                              _____________
                                        Postal code :_________
                                        Phone :_____________

Membership type: please check (price is per houshold
c Family or Single $25.00  c  Senior $10.00
c Yes I would like more information about Volunteering
c Yes I would like more information about programs
__ Number of skate tags required