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History of the

 

WEST VANCOUVER FIRE SERVICE

Membership Form

 

MEMBERSHIP APPLICATION

 

  Name   ………………………………………………………………………………………………………………....……

  Corporation  ……………………………………………………………………………………..…….......…….……………….

  Address  ……………………………………………………………………………………………………..….……………

  City                                                   Province/State                               Country

 

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  Home Phone  ……………………………………… Business Phone .....................................................

 

  E-mail Address  

 

 

  Do you wish to volunteer on any of the Committees?

 

 

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  Annual Dues

 

  Regular and Affiliate Membership - $10 per year .……………………………………$  ___________

 

  Corporate Membership - $100 per year…   ……………………………………….…...$  ___________

                                                                                                                                                             

  Donation to Restoration Fund …………………………………………………………...$   ___________

 

  Signature ……………………………………………………………………………………………………………....………

    Donations are income tax deductible. Please ask for a receipt.

 

  Mailing address:   West Vancouver Fire Service Museum & Archives Society

                          604 East 21st Street, North Vancouver, B.C.  V7L 4V8

 

    Phone: 604-986-1552    E-mail: howardmoody@shaw.ca