CWL 2019 Membership Form

2019 MEMBERSHIP FORM

Please complete this form and enclose your membership fee of $30.

Your envelope marked “Holy Family CWL Membership” may be placed in the collection basket during Mass

Or mail to CWL, 1021 McCarthy Blvd N, Regina, SK   S4X 3P9

Any questions, please contact President, Leona Streifel at 306-543-6494 or email holyfamilycwlregina@gmail.com

 

NAME: (Please Print):____________________________________________

 

ADDRESS:_____________________________________________________

 

POSTAL CODE:______________ TELEPHONE:________________________

 

EMAIL:________________________________________________________

 

Membership Type (please indicate):

___Active   ___Partially Active   ___Inactive/Financially Supportive

 

Cash __________         Cheque __________