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  • Membership Information Form: PO 177, 62 Lighthouse Road Montague, PE C0A 1R0 (902) 838-7082

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    PANMURE ISLAND LIGHTHOSUE
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    This document is a membership information form for the Panmure Island Lighthouse Association. It requests contact information from potential members such as name, address, phone number, and email. Membership is $10 annually with options for additional donations. Upon completing the form, members will be issued a membership number and receipt for their records.

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    Membership Fillable Form

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    This document is a membership information form for the Panmure Island Lighthouse Association. It requests contact information from potential members such as name, address, phone number, and email. Membership is $10 annually with options for additional donations. Upon completing the form, members will be issued a membership number and receipt for their records.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
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    14 views1 page

    Membership Information Form: PO 177, 62 Lighthouse Road Montague, PE C0A 1R0 (902) 838-7082

    Uploaded by

    PANMURE ISLAND LIGHTHOSUE
    This document is a membership information form for the Panmure Island Lighthouse Association. It requests contact information from potential members such as name, address, phone number, and email. Membership is $10 annually with options for additional donations. Upon completing the form, members will be issued a membership number and receipt for their records.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
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    Panmure Island Lighthouse Association Limited

    PO 177, 62 Lighthouse Road Montague, PE C0A 1R0 (902) 838-7082

    Membership Information Form


    Name: Click here to enter text.

    Mailing Address: Click here to enter text. City: Click here to enter text. Country: Click here to enter text. Phone: Click here to enter text. Email: Click here to enter text. Annual Membership - $10.00 Additional Donation Enclosed $Click here to enter text. Province/State: Click here to enter text. Postal / Zip Code: Click here to enter text.

    Mobile: Click here to enter text.

    Preferred Contact Method: Choose an item.


    Email Regular Mail Telephone Facebook Annual Newsletter ONLY

    Add Comment/Message: Click here to enter text.

    Membership No. Issued:

    Receipt #: _______________

    FOR $_________

    Date of Issue: ________________________

    Renewal Date: ________________________________

    Entered in Data Base

    Our beautiful Lighthouse has recently received Official HERITAGE Designation and we welcome Any and All donations to assist us in helping to ensure its upkeep.

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