Name

First Name

Last Name

Email

Subject

please inform if you are a new member or you want to renew your membership

Address (street, city, province, postal code)

Would you like to be contacted about Development Classes?

yes

no

Are you interested in volunteering at Gateway functions?

yes

no

Phone Number

Date of Applications

Date of E-transfer (the annual fee $20)

Please e transfer the annual fee to our email: gatewaycentrecalgary@gmail.com Membership expiry date is December 31 of every year

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