Chemo Savvy | Membership Registration Form 2010

Name* :

Birth Date* :

Chemo Savvy Member Start Date (year)* :

Address* :

City/Province* :

Postal Code* :

Phone -

Home* :

Work :

Cell :

E-mail* :

Team communication is by e-mail. Please check often. If you do not have e-mail, you will have to find an e-mail buddy to ensure you stay in the loop.

Full Membership

$100.00

Includes:

Full voting rights
Participation in all training
Eligible to paddle in races
Race shirt
Paddle
Newsletter
Chemo Savvy Manual & Training Guide

An organization depends on the skills of its members. Of the following activities, please indicate where you would like to be involved as a member of a committee/group.

Community Events
		Relay for Life May 28, 2010
		CIBC Run for the Cure, October 3, 2010
	Assisting Equipment Manager
Fundraising
		Begonias
		Garage Sale

	Newsletter Committee
	Photographer for website/newsletter
	Mascot and Mascot Assistant
	Race/Travel Co-ordination

Please return this form with the registration fee ($100.00) by February 24, 2010, and make cheques payable to Chemo Savvy Inc. (can be post-dated to Feb. 24, 2010). Members who are out of town, please contact chemosavvy@gmail.com to make arrangements by email or phone. Thank you and paddles up!

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