FREDERICTON LAWN BOWLING CLUB

Name: _______________________________________________________________________________________ 

Address:______________________________________________________________________________________

________________________________________________________________________________________________

Postal Code:______________________________

Telephone:        Home____________________

                              Cell_______________________

Email Address:___________________________________________________________________________________________

Membership Fees (circle )

 New( Bowling)        Regular         Senior( 80+)     Junior            Social( non Bowler)  

           $55                        $115                   $55                 $40                             $20

Locker ($15)             Yes                No

Club Key: ($5)         Yes                 No

Fees paid by:    Cash

                              Cheque payable to FLBC          

                               E Transfer to  [email protected]

Please indicate  if you would be willing to assist in one of the following areas:  (Circle)

Kitchen--- Draw--- Green--- Flowers( Garden)--- Promotion--- Special Events

Please indicate if you would like to become a     -- coach --------- umpire

Signature:___________________________________________________    Date:---------------------------------------------

_________________________________________________________________: Treasurer