Membership Application Form

Voting Members are 18 and over. In order for Members to vote at the Annual Meeting, they must be members in good standing both for the year for which such annual meeting is held, and for the proceeding calendar year. Memberships are $15.00.

1. Voting Membership (18+)
A junior is considered under 18 years old as of January 1st of the current year. Special Needs are exhibitors in the Special Needs departments of the Home Crafts Division. These memberships do not have voting privileges. Memberships are $5.00

2. Junior/Special Needs
I give the Essa & District Agricultural Society consent to contact me with member updates & information.
Signature

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Name
Address
City
Province
Postal Code
Email Address
example@example.com
Contact Phone #
Type of Membership
Volunteer Position of choice (if required)
I Will Pay By:

CashChequeDebitOther
Payments to be made out to the Essa & District Agricultural Society

Please return completed applications to the Essa Agriplex Office in person, by email: admin@essaagriplex.ca, or by fax: 705-726-1250
Should be Empty: