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Prime Timers Nanaimo - Members and Friends Print Application

You can join as a member or a friend without giving your name; however you must provide an alias (user names, first and last) and a contact email address.  You can get an anonymous email address from gmail.com.

Information about you:

User Name:  (First )  ____________________________ (Last)  _____________________________


Email Address: ________________________________ Birthdate:  __________________________


City of Legal Residence: _________________________ Telephone (optional): _________________

Information about your partner (if you are part of a couple):

User Name:  (First) _____________________________(Last) ______________________________


Email Address: ________________________________ Birthdate:  __________________________


City of Legal Residence: _________________________ Telephone (optional): _________________

Application Type

This is an application for (check one):

Single Membership         ___     ($20.00 annually)  .......... Single Friendship           ___      (free) 
Couples Membership     ___      ($40.00 annually) Couples Friendship        ___      (free)

Privacy Policy

In applying for membership or friendship, you (or you both, if a couple)  agree not to use any email or personal information you acquire about other members or friends for other than chapter business - unless you obtain prior permission from the member or friend to do so. The chapter also makes a privacy commitment to you not to use personal information collected about you for other than chapter business.  Full details of this policy are  at Code of Conduct and Privacy Policy.

Access to Other Members and Friends

For privacy reasons, the Chapter does not publish a Membership / Friendship List. However, if you wish to personally contact a member or friend, these means are available:

  1. request the phone number or email directly from the member or friend at any event,
  2. request the phone number or email from the secretary at This email address is being protected from spambots. You need JavaScript enabled to view it. who will pass on the request to the intended recipient. If he agrees, the Secretary will pass the contact information on to you; if not, the Secretary will let you know the request has been denied.

Remember that the agreed privacy policy still applies to contact information obtained by either means.

Code of Conduct

In applying for membership or friendship, you  agree:

_______________________________________       _______________________________________
Your Signature                                                                                Your Partner’s Signature (if a couple)

Submission

You can print and complete this form and mail it to the Chapter address:

PRIME TIMERS NANAIMO
P.O. Box 278
Ladysmith, BC
V9G 1A2

..... Or, you can print and complete this form and bring it to any pub night or coffee morning or any other chapter sponsored event. ,,,,,

Or you can copy the form into an email message, complete the form and send it to This email address is being protected from spambots. You need JavaScript enabled to view it.
using your listed email as confirmation of your acceptance of both the privacy policy and code of conduct.

 

This website has adopted and enforces a Privacy Policy.
Use of material on this page and this website in general is subject to a Web Use Agreement.
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