Canadian Aviation Historical Society
Roland Groome Chapter, Regina, Sask.
Membership Application 2013
New
Renewal
Data Unchanged
Chapter Membership Types and Rates
WINDSOCK BY EMAIL $15 Canadian & International Addresses
WINDSOCK - PAPER COPY BY MAIL $20 Canadian; $30 International Addresses
Please Make Cheques Payable to: "Roland Groome Chapter - CAHS"
Membership Application 2013
Name:
Address
City
Province
Postal Code
Phone
e-mail address
Mail to: Canadian Aviation Historical Society,
Roland Groome Chapter, Regina, Sask.
c/o Zoltan Bodas
158 Rodenbush Dr.
Regina, Sask.
S4R 7Y1
zbodas@sasktel.net
PRIVACY STATEMENT: The Canadian Aviation Historical Society (CAHS) is required under the Personal Information Protection and
Electronic Documents Act (2000, c.5) to advise members that this form is collecting personal information. Members must supply their
name and postal address as these are required by the Society to carry out its routine business matters. Name and contact details may
also be published in a Members Directory distributed to all members for non-commercial purposes. Check the following box only if
you DO NOT wish to have your telephone numbers or e-mail address included in the Members Directory.