Memberships can be purchased at major Malmo community events (Upcoming Sept 12 Spaghetti Dinner and Membership Drive)

or

Please complete the form below.  Mail or drop off form with your payment by cheque at:

Malmo Community Hall

11525-48 Avenue NW

Edmonton AB
T6H 0E5

Membership Type:

	$30	Family Membership. This membership group includes all immediate family members residing at one address.
	$15	Associate Membership.  This membership group includes: __            Seniors __           Adults (no children) __           Students __           Single Parent Families
	$0	Honorarium - Provide service description & approx. hours below – provided in 12 months prior to Sept 1

                                                                                                                          

Additional Donation _________________
Yes/No ____Charitable Tax Receipt requested (Min. $100 donation due to amount of administrative overhead)

Fee Paid By: Cash ☐ or Cheque #:_____________

# of Skate Tags Requested: ________

Member Name #1                                                             

Member Name #2                                                             

Child	Birth Year	Boy / Girl

Address                                                                                          

Postal Code                                             

Home Phone     #                                             
Business Phone #                                             

Email                                                                                      
Privacy Policy: Your email address will not be used for anything but community-related contact.

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