Online Membership Form

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First Name *

Last Name *

Name of Spouse

Names of Children (Below 21 Years) and their Age

Residence Status *

Canadian Citizen

Landed Imigrant

Other

Residence Status (Other)

Street Address 1 *

Street Address 2

City *

Province *

Postal Code *

Country *

Email Address *

Home Phone *

Mobile Phone *

Membership Type *

Life-Family ($200.00)

Life-Senior ($50.00)

Annual-Family ($25.00)

Annual-Single ($20.00)

Annual-Student ($10.00)

Annual-Senior ($10.00)

*

To complete your membership registration, please make your payment to PCA General Secretary, Rana Sutwat Atta by contacting him at gensecretary@pcacalgary.ca or calling him at (403) 589-7778

We will make the personal information available to add in Directory for Pakistani Community. If you prefer NOT to add your information in Pakistani Directory, Please check the box

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