the ALBERTA ESTONIAN HERITAGE SOCIETY - AEHS Mebership Form

Period covering 2010 Calendar Year

Annual single membership: $20.00 CDN or US
Annual family membership: $25.00 CDN or US

Primary members of the AEHS will receive the highly acclaimed AjaKaja magazine published twice a year, as well as announcements and invitations to AEHS events.
Membership is valid for the calender year stated on this form.
AjaKaja issues prior to the date of receipt of membership dues will not be available.

For New Membership or Membership Renewal;
Copy this entire document, paste it into a word or similar document, and complete the following.
Print the completed document and mail it along with your cheque to the 'Mail to' address indicated below.

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Primary member info for - 2010.

Title (Mr, Mrs, Ms, Dr. etc):
First name :
Surname   :
Web name :

Address      :
City/Town  :
Prov/State :

Postal/Zip :
Country :

Phone:
Email :

New member:(Y,N):
If new, referred by:

Repeat the following for each additional family member.
Family member firstname :
Family member surname :
Relationship to Primary :
Member web name :
Member email :
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Enter payments enclosed

        Individual ($20.00) :
              or
              Family ($25.00) :

Donations are welcome
                         Donation :

                Total Payment :
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Please make cheques payable to: "Alberta Estonian Heritage Society"

Mail to:

Mr Peter Asmus
374 Coopers Drive SW,
Airdrie, AB, Canada
T4B 0G4

To insure security, you may wish to write "For deposit only" on the back of the cheque.

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Note; We may set the webnames to follow our naming conventions.

The AEHS mailing list is not is not provided to any other organization.
Members agree to accept the rules of the organization and this web site.

Thank you for your interest in our society!

The following is for AEHS use only, but please include it as part of the form.
Rec'd by AEHS:
Year:
Mon :
Day :
Initials:
Amount :
Paid by (CHeque/CAsh):
Membership Number: