APPLICATION FOR WOODPENS' CLUB MEMBERSHIP

 

 and MEMBERSHIP RENEWAL

 

Period:    Fall 2019 to December 31, 2020

 

 

NAME: _________________     SPOUSE: ____________

Mrs./Ms./Mr.

 

ADDRESS: ______________________________________________

 

CITY: _________________POSTAL  CODE: ______

 

TELEPHONE: _________________

 

Department(s) worked  _______________# of years _________

 

*************************************************************

 

I wish to become a Woodpens' Club Member.

 

New Member____Membership Renewal______  (Please indicate)

 

SIGNATURE: ____________Date______________

 

 

Membership Fee is        Single $15.00      Couple $18.00

 


PLEASE MAKE CHEQUE PAYABLE TO:   WOODPENS’ CLUB

 

Mail your cheque to: Woodpens’ Club, Unit 513 - Retail Level

650 West 41st Avenue, Vancouver, BC V5Z 2M9

 

 

Revised March 12th  2020