Base Gagetown Community History Assoc.,
PO Box 3351-Stat B,

Fredericton NB E3A 5H1

 

2007 Membership Application Form = NEW ________ RENEWAL ______

NAME __________________________________PHONE # _____________

ADDRESS________________________________________________________________

Postal Code _____ ______ E-mail ___________________________________

Committee

Community Interest________________________Participation _Yes___ No ___

Family Interest___________________ Date _____________________

Type of membership, Individual-$10.___ Family-$20. ___ Life-$100. _____

Annual Corporate membership $500. _________

 

Revised  2007

Membership renewal is due July 1st  of each year.