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NEW ANNUAL MEMBERSHIP

$36.00

This online option is for new MWSA members. Regular Annual Membership is available to individuals who are 55 years and older; those who are 45-54 can apply for an Associate Membership.

NEW MWSA MEMBERSHIPS (ONLINE REGISTRATION)

MWSA Annual Regular Membership is available to individuals who are 55 years and older; those who are 45-54 can apply for an Associate Membership. The annual membership is valid for 365 days from the date the membership fee is paid.

Our website is safe and secure. Any information collected will remain private and confidential, and will be used to provide relevant programs and services to our members, and for statistical and grant purposes. If you have any questions or concerns, please contact the Executive Director 780-496-2933.

Members also have the option to apply for MWSA Membership in person during regular business hours.

NEW Mill Woods Seniors Association Membership Form

MILL WOODS SENIORS MEMBERSHIP FORM

Personal information requested on the membership form is to provide programs and services to members, and for statistical and grant application purposes. We will keep your information private and confidential. Our website is safe and secure.

Preferred First Name*

Last Name*

Date of birth*

Home Phone*

Cell Phone

Street Address*

City*

Province*

Postal Code*

Email address

In Case of Emergency, please contact the following.
This information may be released to Alberta Health Services in the event of an emergency.

Contact Name*

Relationship*

Contact Phone Number*

Ethnic Status

Gender

Marital status:

Language Spoken at Home

Health Conditions, i.e visually impaired, limited mobility, health conditions

CODE OF CONDUCT. Type your name below if you have read and understood MWSA's Code of Conduct.*

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NEW ANNUAL MEMBERSHIP

NEW MWSA MEMBERSHIPS (ONLINE REGISTRATION)

NEW Mill Woods Seniors Association Membership Form

MILL WOODS SENIORS MEMBERSHIP FORM

Address/Contact Information

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