MEMBERSHIP
APPLICATION
I hereby make application for membership in the Canadian
Naval Air Group: Surname: ______________________ Given Name(s):
________________________ Nickname: _____________________ Spouse's First Name:
__________________ Street Address: _______________________________________
Apt #: ________ City: __________________ Province: ________ Postal Code:
____________ Home Phone: ___________________ Business Phone:
_______________________ Service #(s): _________________ Service Date(s):
______________________ Served On (Sqns/Bases/Ships):
___________________________________________ ______________________________________________________________
Service Employment (Trade/Classification): ______________________________
Current Business: _______________________________________________________ New
Application: ______ Renewal: ______ Original # (if known): ______ I wish to
be a Member-At-Large: ______ OR I wish to be a Chapter Member:
Victoria ___ Vancouver ___ Edmonton ___ Calgary ___ Winnipeg ___ Toronto ___
Ottawa ___ Shearwater ___ Trenton ___ I enclose National Joining Fee: $15.00 Chapter
Annual Dues: $ .00 ____ I wish to order jacket crest(s) @ $18.50 each ____ Lapel
pin(s) @ $4.50 each Total Amount Enclosed: $__________
Applicant's Signature: _____________________________ Date:
____________
Chapter Treasurer Signature: _______________________ Date:
____________
HQ Secretary Signature: ____________________________ Date:
____________
Membership Approved: Regular ____ Associate I ____
Associate II ____
Applicant's Signature: _____________________________ Date:
____________
APPLICATION WITH
ORIGINAL SIGNATURE IS TO BE FORWARDED TO CNAG HQ
THIS SPACE FOR HEADQUARTERS OR CHAPTER USE
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