Membership Form

British Pensioners Association of Western Canada

MEMBERSHIP 2008

Cheques payable to: British Pensioners Association of Western Canada or BPAWC

Name(s)

__________________________________________

__________________________________________

Address

__________________________________________

__________________________________________

Postal Code:_________________________________

Telephone number: (_______) _____________________

e-mail address:___________________________________

Are you willing to volunteer? YES / NO

Couple: $20

Single: $15

Donation to the fighting fund: ______________

Please mail to: