Online Membership Form – Alberta 5 Pin Bowlers’ Association

To register your membership online, please use the following form

Name *

First

Last

Bowling Centre *

Membership Number

If you are a new member of our group, then leave this blank.

Dropdown *

If this is a TRANSFER between two centres or provinces, please supply details

information about the transfer

Birthdate *

Day/Month/Year January 15, 1990 would be 15/01/1990

Dropdown *

Street Address or Post Office Box *

Additional Address Information

additional information if needed

City / Town *

Postal Code *

Primary Phone Number *

Secondary Phone Number (if available)

Email *

Membership Type *

Replacement means you want to get a replacement card as you have lost your previous card. Contact the Office for cost.

Cost *

Age at December 31 of the current year Adults are ages 22 - 54 Golden Age is 55+ Youth is under 19 years of age

Payment Method

If using Interac, send to a5pba@telus.net

E-Transfer Date

Cheque Number

If using a cheque, indicate the cheque number. When sending a cheque, please address it to Alberta 5 Pin Bowlers Association 432-14 St. So. Lethbridge, AB T1J 2X7

Use of Personal Information

Check one of the options below

Dropdown *

Date *

Comment