Name: Telephone (H):
Address Telephone (W):
City: Telephone (FAX):
Postal Code /Zip: E-mail:
Add to e-mail list? Yes No
Club Affiliation: Membership status:
Sail Number:
Do you have a valid measurement certificate? Yes No
FULL MEMBER: required for all owners of a Fireball.
Canadian Fireball Association $40.00 CAN
orUnited States International Fireball Association: $30.00 US
Provincial Fireball Association dues:
(BC - $10.00 Alberta - $10.00 Quebec - $10.00)
______ TOTAL
ASSOCIATE MEMBER:
(limited to non-owners of a Fireball). Associate
Membership $25.00 CAN or $15.00 US
A subscription
to FIREZONE magazine is included.
Print the form
and send with your cheque (payable to the Canadian Fireball Association)
to the CFA at the address below:
Canadian Fireball Association
50 Malhotra Court
Ottawa, ON K1V 1K2
Canada