Members

First Name

Last Name

Email Address

Mailing Address:

City/Town:

Province:

Postal Code:

Home Phone Number:

Profession:

Business Phone:

Academic or Professional Degrees:

I am Presently:
—Please choose an option—ServingRetiredNot Applicable

Rank (if applicable):

Serve(d) with:
—Please choose an option—ArmyNavyAir ForcePoliceCoast GuardNot Applicable

Component:
—Please choose an option—RegularReserveCICOtherNot Applicable

If 'other', please specify:

Last / current unit / ship (if applicable):

Year of Commission (if applicable):

Decorations (if applicable):

How were you introduced to the Club and what is your interest in becoming a member?

Subscription Type :
In Town Member($175)Out of town($50)Student Member($50)Life Members (out of town only)($500)

- I authorize the Crow’s Nest to email me invitations to events and other services. (You may unsubscribe from emails at any time.)

- In applying for membership I undertake, if accepted, to abide to the By-Laws and Rules of the Crow's Nest Officers' Club.

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First Name

Last Name

Email Address

Mailing Address:

City/Town:

Province:

Postal Code:

Home Phone Number:

Alternate Phone:

Current Academic Status:

I am Presently:
—Please choose an option—ServingRetiredNot Applicable

Rank (if applicable):

Serve(d) with:
—Please choose an option—ArmyNavyAir ForcePoliceCoast GuardNot Applicable

Component:
—Please choose an option—RegularReserveCICOtherNot Applicable

If 'other', please specify:

Last / current unit / ship (if applicable):

Year of Commission (if applicable):

Decorations (if applicable):

How were you introduced to the Club and what is your interest in becoming a member?

Please Provide the Name of Your Sponsor:

Subscription Type :
In Town Member ($175)Out of town ($50)Student Member ($50)Life Members (out of town only)($500)

- I authorize the Crow’s Nest to email me invitations to events and other services. (You may unsubscribe from emails at any time.)

- In applying for membership I undertake, if accepted, to abide to the By-Laws and Rules of the Crow's Nest Officers' Club.

Δ