Please enter all the requested detail.

- Regular ($35)

- Senior ($35)

- Family ($70)

- Out of Town ($20)
First Name:

Surname:
EMail address:

Phone No.:

Cell Phone No.:
Address Line 1:

Address Line 2:

Canadian Postal Code:

If family membership, please also enter partner detail.

First Name:

Surname:

EMail address:

Cell Phone No.:

Additional sums as donations are welcome.

No donation

$20 donation

$50 donation

$100 donation

$150 donation