AAC Membership Form

Membership

Red Puppy Paws

MEMBERSHIP APPLICATION

Membership Fees

Individual $25 + GST $26.25 / yr

Family $35 + GST $36.75 / yr

Club $50 + GST $52.50 / yr

A reminder that membership expires on Dec.31

Pour l'application Français .. cliquez ici ––> <<Demande d'adhésion à l’AAC>>

AAC MEMBERSHIP APPLICATION FORM

* First Name:

* Last Name:

*Are you 18 or older?: Yes No

* Address:

* City / Town:

* Province / State: Prov: State:

* Country:

* Postal Code / ZIP:

Phone:

Cell Phone:

* Email Address:

* Preferred Language: English French

* Membership Type: Individual $26.25
Family $36.75
Club $52.50

Individual / Family Application Information
(For Club Application See Below)

* Renewal:
New Membership: Renewal
New

AAC Membership Number:

Family Application Membership List

List Family Members
18 Years & Older:

List Family Members
Under 18 Years Old:

Club Application Information

* Renewal:
New Membership: Renewal
New

* Club Name:

Club AAC
Membership Number:
C-

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