Membership
Application
1998-1999
1867 Valley Farm Road South,
Pickering, Ontario.
L1V 3Y7

NEW
RENEWAL
ADULT ($25)
YOUTH (Free)
Youth only
Age
Date
Name
Address
City
Postal Code
Home Phone #
Business Phone #
E-Mail Address
Would you please help with club functions? Yes No
Do you wish to participate on the Challenge Ladder? Yes No

Please print legibly
Please mail this form with your cheque, made out to the PICKERING SQUASH CLUB to:


Pickering Squash Club Membership
1867 Valley Farm Road South,
Pickering, Ontario.
L1V 3V7


Or drop it off with your cheque to the Reception Desk at the Pickering Recreation Complex.
Or bring it with you to the Sign Up Evening on September 22nd at the Pickering Recreation Complex.

wbutton.gif (904 bytes) RETURN TO THE MAIN MENU

RETURN TO THE RALLY