Track Niagara | printable membership application

Track Niagara - Membership Application Form

Please print this form, fill it out, and send to:
Track Niagara
Box 213
St. David's, ON, L0S 1P0

I am a: (please circle one)

My experience level is: (please circle one)

My weekly milage is: (please circle one)

Last Name:

First Name:

Middle Initial:

Address:

City:

, ON

Postal Code:

Phone #:

E-mail:

Date:

Full Track Niagara Membership: $125: includes full Badminton Club privileges: parking, pool, showers, lounge and bathrooms.
Social Track Niagara Membership: $85: includes limited use of Badminton Club: parking, lounge, and bathroom privileges.
Associate Track Niagara Membership: $25: No Badminton Club privileges (access, parking), except to official Track Club meetings.

Please choose one payment option:

I am enclosing a cheque, payable to Track Niagara.

Please charge my credit card: (circle one)

..... Visa ..... Mastercard
.....

Card Number:

Expiry: