Whitby Curling Club

Home > MEMBERSHIP APPLICATION

2010-2011 WHITBY CURLING CLUB NEW MEMBERSHIP FORM

PAY BEFORE APRIL 30TH, 2010 TO BEAT THE HST

*NAME:	*ADDRESS:	*HOME PHONE:	WORK/CELL PHONE:

*EMail Address:			Postal Code
Method of Payment: Cash Cheque Debit Credit Card
Credit Card:		Card Number:	EXPIRE: MM-YY -
I AGREE for my contact information to be listed in a "member only" accessed contact list on the website
I DO NOT want my contact information to be listed in a "members only" accessed contact list on the website
All fees include O.C.A., Capital Fund, Parking Lot, and H.S.T.		Rate Per Person	Sub-Total
Male		$429.00	$
Female		$385.00	$
Senior Male (65 and over)		$341.00	$
Senior Female (65 and over)		$307.00	$
Intermediate Male (19-24)		$341.00	$
Intermediate Female (19-24)		$307.00	$
Junior (18 and under)		$115.00	$
Social		$102.00	$
Prize Money:		Rate Per Person	Sub-Total
Ladies Afternoon Curling: Mon, Tues, Thurs - 1 pm		$20.00	$
Business Womens Evening Curling: Tues - 7 and 9 pm		$20.00	$
Ladies Sunday Evening Curling: Sunday – 7 pm		$25.00	$
Senior Mens Morning Curling: Mon, Tues, Thurs - 10 am		$20.00	$
Mens Evening Curling: Mon, Thurs – 7 and 9 pm		$20.00	$
Mixed Evening Curling: Wed or Fri – 7 and 9 pm		$20.00	$
Mixed - Fixed Time: Fridays 4:30 pm		$20.00	$
LOCKER RENTAL		$21.50	$
VOLUNTEER PROGRAM 8 HOURS or $25.00		$25.00 *to be paid if you do not plan on volunteering	$
		TOTAL FEE:	$

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

*Manditory Fields

Payment Options:

1. Full Payment – Cash, Cheque, Debit, Visa, or Mastercard.

2. Post Dated Cheques – Divide total by 4 - dated August 15th, September 15th, October 15th and November 15th.

3. Post Dated Cheques – Divide total by 10 - dated August 15th, September 15th, October 15th, November 15th, December 15th, January 15th, February 15th, March 15th, April 15th, and May 15th.

League Application forms MUST be completed and submitted with Club Membership Application.

site designed by bono designs