Membership Form

Rondeau Bay Waterfowler's Association

 

Complete the 6 steps to fill out this membership form.

1. Circle your membership type. [Renewing Member]                             [New Member]

2. Place an "X" next to your chosen membership package.

Membership Package Price X Membership Package Price X
RBWA Membership - Youth $15.00   RBWA & OFAH Membership - Youth $20.00  
RBWA Membership - Individual $15.00   RBWA & OFAH Membership - Individual $43.00  
RBWA Membership - Family $15.00   RBWA & OFAH Membership - Family $55.00  

3. Fill in your contact information.

Name  
Address  
City  
Province/State  
Postal Code/Zip Code  
Email Address  
Phone Number  
Additional Family Members  

4.Sign and date the form.

__________________________________________________________________ _____________________________
Signature Date

5. Make cheque payable to the Rondeau Bay Waterfowler's Association.

6. Mail form and cheque to:

Peter Myslik
12240 Talbot Trail S.
Morpeth, Ontario
N0P1X0