PBA Canada Application Form

PROFESSIONAL BOWLS ASSOCIATION

Treasurer: Martin Haalstra PBA Canada, PO Box 489, Belmont, Ontario N0L 1B0

MEMBERSHIP APPLICATION FORM

I,_____________________________________, wish to apply for ordinary membership of the Professional Bowls Association, and agree to abide by the Association's rules and regulations. I understand that I will receive news bulletins from the PBA, and will be eligible to enter qualifying events arranged by the PBA. I enclose a cheque for $115 one-off joining fee, plus $135 annual subscription ($250 in all). I understand these monies will be returned if my application for membership is unsuccessful.

Full Name :	Date of Birth :
Address :	Place of Birth :
	Occupation :
	Tel No :
	Business/Work Tel :
Post/Zip code :	Fax:
email address :	Mobile:

Outdoor Club :	Indoor Club :
Representative Honours (county/country - with years) :




Bowling achievements (county/national/international events - with years) :

Please complete this form in ink, using block letters, and return with cheque or money order for $250 made payable to: Martin Haalstra, Treasurer, PBA Canada, PO Box 489, Belmont, Ontario, N0L 1B0.