PROBUS in Ottawa's Rideau Valley
Friendship, Fellowship, and Fun
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@Online Membership Form – Test
To register as a member of our PROBUS club please fill in the form, click on the Send button. A confirmation email will be sent to the addresses you specify. Thank you.
Member Status
*
Returning Member
New Member
Next
As a returning member, please fill in your name and email addresses, and any changes only. A confirmation email with payment instructions will be sent to the email addresses you have specified. Thank you.
Number of People in Same Household Applying ($40.00 per member)
Badges Only
1
2
Do You Require Badges
Yes
No
Applicant Name
*
Email Address
*
Phone
Applicant Name
*
Email Address
*
Phone
Street Address
City
Postal Code
Number of Badges Required ($10.00 per badge)
1
2
Name on Badge
*
Badge Holder Colour
*
Please select
Black
Clear
Blue
Pink
Name on Badge
*
Badge Holder Colour
*
Please select
Black
Clear
Blue
Pink
Annual Membership Fees
are due on September 1st for the coming year and may be paid by e-transfer (preferred) or by cheque. Further instructions will be sent by email once the form has been submitted.
Privacy and Use of Personal Information:
Your membership in the Probus Club of Ottawa indicates your agreement that the personal information you provide, as well as
photographs taken at Club events, may be used for internal PROBUS ORV Club purposes. These include communicating with you and
maintaining an archival record of members. Members’ information will NOT be made available to individuals or organizations
outside of the Club. The Club’s Personal Information Protection Policy is available for review at:
https://probusorv.ca/personal-information-protection/
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Welcome to Probus in Ottawa’s Rideau Valley. Please fill in the following form to register. A confirmation email will be sent to you, including fee payment details. Thank you.
Number of People in Same Household Applying ($40.00 per member)
*
1
2
Do You Require Badges?
Yes
No
Applicant Name
*
Email Address
*
Phone
Applicant Name
*
Email Address
*
Phone
*
Street Address
*
City
*
Postal Code
*
Number of Badges Required ($10.00 per badge)
*
1
2
Name on Badge
*
Badge Holder Colour
*
Please select
Black
Clear
Blue
Pink
Name on Badge
*
Badge Holder Colour
*
Please select
Black
Clear
Blue
Pink
Annual Membership Fees
are due on September 1st for the coming year and may be paid by e-transfer (preferred) or by cheque. Further instructions will be sent by email once the form has been submitted.
Privacy and Use of Personal Information:
Your membership in the Probus Club of Ottawa indicates your agreement that the personal information you provide, as well as
photographs taken at Club events, may be used for internal PROBUS ORV Club purposes. These include communicating with you and
maintaining an archival record of members. Members’ information will NOT be made available to individuals or organizations
outside of the Club. The Club’s Personal Information Protection Policy is available for review at:
https://probusorv.ca/personal-information-protection/
Back
Next
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