New Members Form

Please complete this form and submit to join the GCW.

Please Note: If you select cheque, please mail your cheque to: GCW Memberships, c/o 9024 Gregory Drive, North Battleford, SK S9A 2W7. If you select credit card, you will be contacted for your credit card information by phone by the GCW Treasurer.
Membership Length	1 year ($25) 2 year ($50)
Language	English French
First Name / Prénom:
Last Name / Nom:
Address1: Adresse Postale:
Address2: Adresse Postale:
City / Ville:
Prov / State:
Country / État:
Postal code / Zip code:
Telephone / Téléphone:
email:
method of payment:	Cheque Credit Card

In accordance with the Personal Information Protection and Electronic Document Act,
please indicate (check) if you would like any of the following information suppressed from the
GCW membership directory:
address telephone email