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Membership Form
To join the Dragonfly Social Art Club complete the following form and either mail it to the address on the form or bring it with you to our next meeting. Meetings are held on the 2nd Thursday of the month at the Cactus Station Studio.
Fee $20.00
Send your application and cheque to:
Dragonfly Clubhouse
Carolyn Findlay
Cactus Station
5970 173B Street
Cloverdale, BC V3S 4B2
email address cactus_station@telus.net
Name __________________________________________
Address _________________________________________
Phone ____________________ Birthday [day & month only]_____________________
Email ______________________________________
I enclose _________________________ Date ______________________________________
Office Use Only
Membership Number _____________ added to Membership List: ______________ added to Phone List :__________
Membership Receipt: Dragonfly Social Art Club
Name ___________________________ Membership Number ______________________________
Date ____________________________ Paid by [cheque, cash, interact, visa]:_________________________________
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