Membership Application Form

The PROBUS Club of Muskoka North is all about providing recreational activities, fellowship, learning activities and opportunities to meet new friends.
We are a volunteer-run organization. All our activities are planned and run by members. The more volunteers, the more choice of activities we can offer; and the more opportunities to socialize with other members and the more fun. We do like our fun and good times.
All members are welcome to volunteer and help out. Please let us know something about yourself.

Please enter your details and then click on the "Submit" button.

First Name:*	Surname:*
Street Address:*	Town/City:*
Province:* -- Select -- Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon	Postal Code (A9A 9A9):*
Telephone (999-999-9999):*	Other Phone (999-999-9999):
E-mail Address (if applicable):

Name of Spouse or Partner (if applying for both you and your partner):

Partner's E-mail:


Former Career(s):


Do you have any skills or knowledge to share?
E.g. crafts, technology, speaking, organizing, managing etc.:


Please let us know how you could participate:

Organize a day trip:
Organize or help organize a longer trip:
Organize a local activity:
Organize a dining event:
Arrange for speakers:
Help the treasurer or become treasurer:
Occasionally fill in for secretary by taking minutes:
Other:

Challenge:*

Please enter the third, sixth and fifth digits of the number shown below, in that order. 5165507

* Essential information

Please check over your responses before clicking on the "Submit" button.

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