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PPGAM MEMBERSHIP APPLICATION FORM  

  Date:                                                                                  Member Since:              (indicate year)

  Name:                                                     Phone:                     Email:                                      

  Address:                                                                                

  City:                                          Province:                                Postal Code:                  

  Business Name:                                                            Phone:                       Fax:                  

  City:                                          Province:                                Postal Code:                 

  • ___  Shop Membership: $120.00 per year (3 votes maximum)

    • ___  ($135 if paid after Annual General Meeting)

  • ___  Regular Membership: $40.00 per year (1 vote maximum)

    • ___  ($45 if paid after Annual General Meeting)

__ 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)   

Please make Cheque Payable to P.P.G.A.M.
(Due October 1st)

Mail To:
PPGAM Secretary
381 Arnold Avenue
Winnipeg, MB.
R3L 0W8

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Last Updated:

 Thursday, October 16, 2008