PPGAM MEMBERSHIP APPLICATION FORM

PPGAM MEMBERSHIP APPLICATION FORM (Online Application/Membership Form)

Date: Member Since: / (month / year)

Name: Phone (Home): Phone (Cell):

Email: Website:

Address: Phone (Work):

City: Province: Postal Code:

Business Name: Phone: Fax:

Service(s) Offered: Shop: Mobile: Both:

City: Province: Postal Code:

___ Membership: $50

( ___ Yes, I would like to receive my Newsletter via email.)

__ I give permission for the PPGAM to provide my information as stated above to other members
within the association on any official PPGAM marketing material.

Signature (in ink)

Online Application/Membership Form

Please make Cheque Payable to P.P.G.A.M.

Mail To:
PPGAM Secretary
383 Sydney Ave
Winnipeg, MB
R2K 1B9

Or Pay Via PayPal

Click PPGAM Logo To Pay Using PayPal