Send e-mail to Canadian Club of Regina: cclubregina@canadianclubregina.ca

Membership Application

Please print application and bring to next meeting

or mail to: Canadian Club Regina Box 37124 Regina, S4S 7K3

Yearly fee is $35 single, $60 Couple, $200 Corporate, $20 Student

 

Name

 

Interested in Volunteering

Contact

Address

City

Postal Code

Telephone

Cell Number

E-mail

 

 

 

 

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