MEMBERSHIP APPLICATION FORM

Print this form and snail mail to:

Floating Home Association - Pacific/Canada
P.O. Box 274
Delta, B.C.
V4K 3N7

 Name:
 
 Mailing Address:
 
 
 
 
 
 Phone (Home):
 
 Phone (Work):
 
 Fax:
 
 Email:
 
 I am:
 
  __  Floathome owner
  __  Floathome tenant
  __  Marina operator
  __  Other
 
 I can help the association in the following areas:
 
  __  Membership
  __  Research
  __  Public Relations
  __  Other
 
 $30 Fee enclosed: (per residence)
 
 Fiscal year:  April 1 - March 30
 
  __  Cash
  __  Cheque
 
 Your canceled cheque is your receipt.
 

 

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