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MEMBERSHIP APPLICATION

Whitby Curling Club
815 Brock St. North
Whitby, Ontario
L1N 4J3
Phone: (905) 668-5021
Fax: (905) 665-0770
whitbycc@sympatico.ca

*NOTE: THIS APPLICATION IS FOR NEW MEMBERS ONLY. RETURNING MEMBERS PLEASE CONTACT THE CLUB IF YOU HAVE NOT YET RECEIVED YOU PACKAGE IN THE MAIL.

NAME: ADDRESS: HOME PHONE: WORK PHONE:
( ) - ( ) -
EMail Address: Postal Code -
All fees include O.C.A., Capital Fund,
Parking Lot, and G.S.T.
Rate Per Person
Total
Adult (30 to 59 years old):
$380.00
$
Adult (20 to 29 years old):
$320.00
$
Senior (60 and over):
$320.00
$
Junior (16 to 19 years old):
$200.00
$
Social:
$100.00
$
Prize Money:
Rate Per Person
Total
Ladies Afternoon Curling:
$20.00
$
Business Womens Evening Curling:
$20.00
$
Ladies Sunday Evening Curling:
$20.00
$
Senior Mens Morning Curling:
$20.00
$
Mens Evening Curling:
$20.00
$
Mixed Evening Curling - Wed or Fri:
$20.00
$
Mixed - Fixed Time - Fridays 4:30 only:
$20.00
$
LOCKER RENTAL
$16.00
$
 
TOTAL FEE:
$


We accept the following methods of payment : Cash, Cheque, Debit, Visa or Mastercard