Dual Membership - Annual Form Primary Cardholder Information This membership is * New Renewal Title * - Select -Mr.Mrs.Ms.Mx.Dr.NoneOther If Other: First name: * Last name: * Address: * City: * Province: * Postal Code: * Telephone: * Email: * Secondary Cardholder If none indicated, a Member+Guest card will automatically be issued. Title - None -Mr.Mrs.Ms.Dr.NoneOther If Other: First name: Last name: Email: Stay Connected I would like to receive emails about upcoming member events and programming * Yes No Gift Membership (IF APPLICABLE) From: Additional Notes: Press submit to proceed to payment page
