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Personal Information
Name: *
Address: *
City: *
Province: *
Postal Code: *
Home telephone:
Business telephone:
Fax:
Email:
Family Memberships
Family Member 1:
Family Member 2:
Family Member 3:
Occupation / Professions
Your Occupation / Profession: *
Name of Proposer: *
(Don't worry if you do not know a member of the Society, please just call the office at 416-597-0220)
Proposer Telephone: *
I am a member of the following
clubs / associations: 
Membership Fee
Membership type: *  Member ($125 - includes gift see below)
Senior ($85 - includes gift see below)
Family Member ($25)
Under 30 ($25)
Gift: either a silk tie (value $50) or a silk scarf (value $40). Please take a few moments to check off the following profile. It will assist us in designing programmes that cover the interests of our members
Please indicate which
of the following events
you are interested in: 		 Pub Nights
Lunches (speakers/tours of historic sites)
Theatre Outings
Christmas Celebration
Please indicate others
that would be of interest: 
Volunteering
Willing to volunteer and help with
any of our events: 		 Yes
No
 
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