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NORTH SHORE GROUP Vancouver’s Social Club for the Young at Heart since 1980

MEMBERSHIP APPLICATION FORM ___________________________________

__________________________________________

Name

Email

________________________________________________________

_______________________

Mailing Address

Phone

Are you a new member or returning member?

□ New □ Returning

Birthday: Mo._____Day_____

How did you hear about us?__________________________________________________________ Please circle all the activities you enjoy. Then prioritize your top four activities from the list below. List activities under “Other” that you would like to see added to our events. 1._______________________ 2.___________________________ 3. _________________________ 4._______________________ Other ___________________________________________________ Social Activities BBQs/Picnics/Beach Dancing – DJ, Band Dinner Dances House Parties - Potluck Pub Nights Restaurants/Dining Out Theme Parties Weekend Brunches

Sports/Fitness Bowling Golf – 18 Holes Golf – Pitch & Putt Outdoor Adventures Skiing Spectator Sport Events Walks & Coffee Yoga/Fitness Classes

When are you able to participate?

□ week days

Arts/Entertainment Arts/Music Festivals Ballet Film Festivals Music/Dance Shows Live Theatre Movies Opera Symphony

□ weekends

Specific Interests Book Club Bridge Card & Game Nights Christmas Dinner/Dance Computer Classes Dance Lessons Day Trips/Group Travel Fireside Chats/Speakers

□ week nights

□ anytime

CRITERIA TO JOIN THE NORTH SHORE GROUP: • Marital status: Single • Age 55 years or more • Attendance at two North Shore Group planned activities prior to approval of your membership • All residents of the Lower Mainland are welcome • Agreement to organize a minimum of one event per year. Which month will you organize your social activity? ______________________________ Note: New members are exempt from organizing events during their first six months of membership.

ANNUAL MEMBERSHIP FEES • $50 per year membership fee for members. There is an additional annual charge of $15 (total of $65) if members request the NSG’s monthly newsletter by mail instead of email. • Joining July 1st or later? $25 annual fee for new or renewing members. • Annual North Shore Group membership fees are due January 1st of each year. Fees are due prior to AGM in January to be eligible to vote for the new North Shore Group Executive. _______________________________________ Signature

____________________

________________

Date

Amount Enclosed

Please include this completed form with your cheque payable to North Shore Group, Box 63518, 935 Marine Drive, North Vancouver, BC V7P 1S0

membership application form 2013.doc


North Shore Group Membership Form 2013