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CALGARY INTERNATIONAL PIN CLUB (CIPC)
2010 MEMBERSHIP RENEWAL FORM
Name: ____________________________________________________________________________________
Street Address:____________________________________________________________________________________
City: ____________________________________________________________________________________
Province/State: ____________________________________________________________________________________
Country: ____________________________________________________________________________________
Postal/Zip Code:___________________________________________________________________________________
Telephone # (Home)__________________________ (Work)_____________________________________________
Fax # ____________________________________________________________________________________
Email Address:____________________________________________________________________________________
Type of Pins that you collect: ( For listing on the Membership Distribution List )
________________________________________________________________________________________________
________________________________________________________________________________________________
Type of Membership : Single ($20.00)____________________
Associate ( second or more family ) add ($10.00 each)____________________________________
Please complete and return one form per membership, together with youe payment to:
Calgary International Pin Club
PO Box 21086
Dominion Postal Outlet
Calgary, AB T2P 4H5
Canada
CIPC Email Address - allpins@calgaryinternationalpinclub.com
Benefits of Club Membership: Interested in Committee Work?
Yearly Membership Pin Your help is always needed. If you would like to be involved in any
Entrance to monthly meetings committees, please let us know.
Table setup privileges at regular meetings Festival of Pins September 4 & 5 , 2010
Reduced table rental at the Festival of Pins
PLEASE PRINT and SUBMIT THIS FORM
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