2007 MEMBERSHIP APPLICATION

Membership dues: youth $22 (16-19 years); adult $32 (20+years); associate $13
(people who pay their FMCBC dues & liability insurance premiums to another club)

Please make cheques payable to Comox District Mountaineering Club (CDMC)

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

Mailing address……………………………………………………………………………………………………..

………………………………………………………………………………………………………………………

Postal code…………………………………………Phone………………………………………………...............

E-mail address………………………………………………………………………………………………………

Amount enclosed $.........................( ) new member ( ) renewal ( ) youth ( ) adult ( ) associate

Mail to:
Comox District Mountaineering Club, PO Box 3832, Courtenay, BC V9N 7P2