|
HCEA Canada Membership Application Form
Name: (First)__________________________ (Last)______________________________________
Company Name: (if Applicable)_______________________________________________________
Mailing Address:________________________________________(include fire # and Conc or Line #)
City / Town:______________________________________ Postal Code:_____________________
Country:____________________________ Home Phone __(______)________________________
Email Address:____________________________________________________________________
Check 1 only: ___Individual Membership $25. oo Cdn.
___Individual Overseas Membership $30.oo Cdn.,
___Family Membership $30.oo Cdn. (includes spouse & children up to age 18 years).
Spouse's Name:_______________Childrens Names________________________________________
Make cheques payable to: H.C.E.A. Canada and
Mail to: H.C.E.A. Canada, 1392 Brant Rd. #54, RR2 Caledonia, ON, CA N3W 2G9
There are 4 major Committees that work to keep HCEA Canada running. We need volunteers to help
operate each of these committees.
The names of the committees are:
Archive , Equipment & Safety , Promotion & Advertising , and Special Events Committees.
Would you help on a committee? YES / NO (Circle one)
On which Committee would you like to be involved? _______________________________________
What are your interests? Tell us about them.
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
Do you have any machinery? We would love to hear about your collections.
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
|