Online Membership Registration

Year 2011 - 2012
House
Currency CAN US
Members Info
First Name Last Name Work/Cell Tel Email
Please put the member contact in the first line
Address Info
Address City
State/Prov. Country
Postal Code
Home Tel Weekend Tel
Notes
Date/Time 2/7/2012 9:09:33 AM




Fees 2011 - 2012 !

Fee Notes
$ 50 CDN/US Membership year:
Sept 1 - Aug 31.

Notes and instructions !
A family membership includes all members of a household living at the same address.
Each member can include his/her work/cell telephone number and personal e-mail address. All of the other contact information is shared with the other members. Please include up to 5 additional family members as only registered members receive the many benefits of our group.
You must select a house to join, if you are joining principally for Amerigas, join "The Gas Line". If you wish to create a new house, please contact the webmaster. If you are still unsure, select Still Alive and put a note to this effect in the Notes section.
Once your membership fee has been received, you will be entitled to all of our member benefits.
If you have an e-mail address, you will receive individual membership cards in PDF format which you can print out on your own printer.
Send us your cheque by mail - you will be given the address upon confirmation of your registration.
      Intershack  |  A Jay Peak Area Sports & Social Group  |  www.intershack.com