ROCKY MOUNTAIN BEARS - CALGARY DEN

Membership (Renewal) form

All club members are entered into our club database and a contact sheet is distributed to club members only.

q Active Membership (April 1st – March 31st) $20.00 per person.

q Associate Membership (50km outside of Calgary) – (April 1st – March 31st) $15.00 per person.

q 1½ year Membership (available after Oct. 1st of the current year and is valid for the remainder of the current membership year and the next membership year) $30.00 (Active Membership) $25.00 (Associate Membership).

Please Print
Name:________________________________________________________________

Address:______________________________________________________________

City:_____________ Province/State:_____________ Postal/Zip:____________

Phone:__________________________ Date of Birth: (dd/mm/yy) ___/___/___

E-Mail Address(es):_____________________________________________________

I understand that Rocky Mountain Bears – Calgary Den is a predominantly gay male organization and certify that I am at least 18 years of age.

Signature:___________________________ Date:________________________

Do you want to be on the distributed phone list:
Yes
q No q

May we contact you to volunteer for certain Rocky Mountain Bears events?
Yes
q No q

Do you have an objection to your picture being on the website
if taken during a Rocky Mountain Bears event?
Yes
q No q

Do you require discretion when being contacted?
Yes
q No q

If yes, please explain:____________________________________

Mail your cheque/money order to:
Rocky Mountain Bears
Box 82064 - 1400 12th Ave. S.W.
Calgary, Alberta T3C 0N0
Canada

Please DO NOT send cash through the mail!

*MEMBERS - WITHIN 50 km of Calgary - $20.00
* ASSOCIATE MEMBERS - Outside 50 km of Calgary - $15.00

All prices in Canadian Funds

Any Questions? Please contact Rocky Mountain Bears –
Calgary Den at E-Mail: Secretary@bearbackcalgary.com