APPLICATION FOR MEMBERSHIP


TO: The Vancouver Traditional Mass Society. P.O.Box 30027, North Vancouver, B.C. V7H 1S6 Canada

Please entrol me as a member of the Vancouver Traditional Mass Society

Surname ______________________________________ Age ___________
(Please state whether Fr., Rev., Dr., Mr., Mrs., Miss, or give title)

Christian Names _______________________________________________

Address _____________________________________________________

____________________________________________________________

___________________________________ Postal code _______________

Telephone ___________________________________________________

Diocese _____________________________________________________

Parish ______________________________________________________

Profession or Occupation ________________________________________


(Please tick all that apply below and return to address shown above
with your remittance)

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I enclose $_______ in payment of my first annual subscription

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Single membership within Canada
Family membership within Canada
Overseas outside Canada

$20
$25
$25

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I enclode $_______ (20 times the Single subscription) in application for
Life Membership.

Please send me a newsletter


Signed ______________________________________ Date ________________

I could, if requested, offer the following voluntary services: