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History of the
WEST VANCOUVER FIRE SERVICE
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 ………………………………………………………$ .___________
Corporate Membership……………………………………………………………….…...$ ___________
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