2021 Annual Membership Registration Form

Annual Membership Registration Form 2022 Season

Only use this form for registering with credit card payments
Name: *

First Name Last Name
Address: *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Phone Number: *

Area Code Phone Number
Email (enter unique address for each member payment): *

Confirmation Email *For security, only one payment per email is accepted

My Products *

Membership Designation:

$ 20.00 CAD Select:
Item subtotal: $ 0.00 CAD

Club Donation?

$ 20.00 CAD Add a donation?
Item subtotal: $ 0.00 CAD

2022 Wharf Fees?

$ 250.00 CAD Pay fees?

Total

$ 0.00 CAD

Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year

By submitting this form, I acknowledge I have read and understand the Tyee Club of British Columbia Official Rules and Regulations, including angler and rower Etiquettes and Responsibilities and acknowledge that the Club may contact me regarding this payment, club news, business or upcoming club events.
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