REGISTRATION
FORM
Name of Organization:
___________________________________________________________
Contact Name and Address:
________________________ Postal Code: _______
Alternate Name and Address: ________________________ Postal Code: _______
Phone Number: ________ Fax Number:___________
E-Mail:_________________________________________________________________________
___ I am interested in volunteering
on a Regina Sport Hall of Fame committee.
-------------------------------------------------------------------------------------------------------------------------
MEMBERSHIP
APPLICATION
___
Organization $50.00 ___Individual $20.00
My
cheque for $_____ is enclosed.
(Cheque
made payable to REGINA SPORTS HALL OF FAME INC.)
Mail
cheque to Regina Sports Hall of Fame Inc.