AAC Trial Application

AAC Trial Application

For Member Clubs
Club's Number
Adding New Information
Club-Name*
Nom du club
AAC-#*
Membership Number
C-Address*
Adresse du club
C-City*
Ville
C-Prov*
Prov
C-PC*
code postal
C-Email*
courrier électronique
C-Website
Siteweb
C-Tele
Télé
C-Cell
Télé-cellulaire

Representative / Applicant
A-Name*
First, Last
A-AAC No
Membership Number
A-Address*
A-City*
A-Prov*
A-PC*
A-Email*
Copy of submission sent here
A-Tele
A-Cell
I am Secretary*

YesNo
Open Trial Conditions*

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I Agree to all conditions*

YesNo
In order to continue you must agree to all conditions.