Membership Application and renewal

Membership Application : New  ______Renewal Member # ______

The ECC Board of Directors is very pleased to receive this application from you (and your family). By completing this application form you recognize that:

1. The membership dues cover the period from April 1st to March 31st of the following year regardless of the application date. All memberships expire at the end of March and their renewal is required to maintain an active status and receive the benefits the Club provides to its members.

2. There are two categories of annual membership, please indicate your choice: Single______: At a rate of $30 Family______: At a rate of $60. This covers all family members including children less than 25 years old.

Please make your cheque payable to “Egyptian Canadian Club” and mail it to the address listed below.

For New Member ONLY

Name of first sponsor:   __________________       Membership #______________

Name of second sponsor:______________________Membership # _______

Egyptian Canadian Club – P.O. Box 91155 – Bayview Village – Willowdale, ON; M2K 2Y6 e-mail:: ecclub23@gmail.com

 Egyptian Canadian Club – Le Cercle des Canadiens d”Egypte

Membership Application Page 2

Kindly complete all the required information and details about yourself and about your family members. This will be entered in the club database to ensure that accurate and timely club correspondences and communication reaches you.

MEMBER Title (Mr./ Mrs./Ms./,Dr./etc.) ____________

First Name_______________________ Middle Initial________ Last Name_______________________ E-mail address_________________________________ Cell phone #______________

Home phone________________________HomeAddres_____________________________________

Postal code _________________________

SPOUSE Title (Mr./ Mrs./Ms./,Dr./etc.) ____________ First Name______________Middle Initial

Last Name______________________

Email address_________________________________ Cell phone #___________________________

Children (under 25 years old)

Name_______________ E-mail ______________________________Cell #

Name_______________ E-mail ______________________________Cell #

Name_______________ E-mail ______________________________Cell#

Name_______________ E-mail ______________________________Cell #

The Egyptian Canadian Club respects the confidentiality and privacy of its member’s information. The board is committed to protect & safeguard it from any exposure or misuse. This information will not be passed to any 3rd party. Egyptian Canadian Club – Le Cercle des Canadiens d”Egypte