Bluewater Pond Club
Click Here to download the Application Form in MS Word Format
Application Form
NAME ____________________________________________________
ADDRESS__________________________________________________
CITY__________________________PROVINCE____________________
PHONE ________________________POSTAL CODE_______________
EMAIL ADDRESS_____________________________________________
_____ Check here and sign below if you will allow this information
to be published in a Bluewater Pond Club roster.
Signature: ___________________________________________________
MEMBERSHIP FEE IS $ 20.00 a calendar year.
Please return this membership application form with an enclosed
fee to:
Mr. Norm Amy
241 Oslo Cr.
Sarnia Ont.
N7S4J3
Any inquiries can also be directed to Mr. Norman Amy at
bluewaterponds@cogeco.ca: Click on the e-mail address to the left
It will pop open a window and fill in the above email address, which when sent,
will be recieved by Norm. Thank - You
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For official club use only:
Amount Received ____ Cash ____ Cheque
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