Squash Manitoba Full Membership Online Registration Manitoba, Canada

To register for Full Membership in Squash Manitoba using EventsOnline.CA please follow these steps: Type your name and other information into the form below and click on the submit button. Use your MasterCard or Visa credit card to pay for your membership. The transaction will be processed securely in Canadian dollars. Your credit card number will not be stored by Eventsonline. Once you have successfully paid for your membership you will receive a confirmation email message. Please note this online form will not assign membership numbers. Your membership number will be assigned by the Squash Manitoba. Visit the Squash Manitoba web site at http://www.squashmb.org/ note: All Full Memberships expire on May, 31. The Fees Yearly valid June 1 - May, 31 Individual $20 Price above does NOT include the online processing fee.

Select a type of membership: Individual Last Name: First Name: Address : City: Province: Please use 2 letter abbreviation Postal code: Country: Home phone number: Work phone number: Email address: Junior - under 19: Yes No Date of Birth: Year 19 Month January February March April May June July August September October November December Day 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Gender: Male Female Club: -- select -- Brandon Park Avenue Squash Club CFB (17 Wing) Dauphin Squash Club Portage Squash Club Sportex (St.Boniface College) U of W Winnipeg Squash Racquet Club Winnipeg Winter Club Not in a club Are you interested in volunteering some time to Squash Manitoba? yes no In consideration of my acceptance as a Full Member of Squash Manitoba, I hereby agree to follow all rules and regulations set down by Squash Manitoba. Personal information collected by Squash Manitoba will be retained and used for the purposes that include communicating about Squash Manitoba programs, events and activities. I also understand that any photograph’s taken, may be used for Squash Manitoba published materials and website. I understand that by becoming a member of Squash Manitoba I am giving consent for Squash Manitoba using my information and photograph. For a complete description of Squash Manitoba Privacy Policy please visit our website at www.squashmb.org Check this tick box to agree to the above terms of Full Membership, upon my admission to Squash Manitoba as a Full Member.