Interior Swiss Club

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Membership application

Any person interested in Swiss culture can apply to become a member of the Club and upon acceptance by the directors is a member.  Every member must comply with the club's bylaws.

First Name	. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Last Name	. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Street	. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
City & postal code	. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Phone	. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Fax	. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
email	. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Single membership, $10.00	yes: . . . . . .()    or    no: . . . . . .()
Family membership, $20.00	yes: . . . . . .()    or    no: . . . . . .()
Members older than 80 years are free, but please provide your birthdate.	. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Please print this page, complet and mail it together with your membership fee (make cheques payable to "Interior Swiss Club") to our treasurer/membership:

Elisabeth Reymond
13616 Ponderosa Way                                        1 250 549 1148
Coldstream  B.C.  V1B 1A4