"In the interest of Shipper-Carrier and Suppliers Relationship" P.O. Box 2223, Kingston, Ontario,K7L 5J9
MEMBERSHIP RENEWAL/NEW MEMBER APPLICATION FORM
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MEMBERSHIP DUES OF $30.00 FOR CONTINUED MEMBERSHIP AND WEB PAGE ADDRESS ARE DUE BY OCTOBER 31st, EACH TERM.
Please take the time now to renew your membership for the next term. Kindly return your completed form with your check or cash for $30.00. Make check payable to K.C.T.C. or Kingston Centennial Transportation Club. Please fill out the application in full as we need up to date address e-mails and employment status. So many have changed companies or moved and we do like to make sure you receive your monthly notices regularly. Thank you for your cooperation.
Name:____________________________	Date of Birth:_____________________
Business Name: ____________________________________________________
Business Address:____________________________________________________
Bussiness Phone:_____________________	Fax No.__________________________
Cell Phone:_____________________	Home Phone:_____________________
Home Address:______________________________________________________
E-Mail Address:_____________________
Company Website:_____________________
Mail this form with your check to P.O. Box 2223, Kingston, Ontario. K7L 4Y5 OR bring it to the September of October meeting with your payment of dues.
YOUR CONTINUED SUPPORT IS WHAT MAKES THE CLUB. THANK YOU