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MASC Membership/Renewal 2021-2022

Home/MASC Membership/Renewal 2021-2022
MASC Membership/Renewal 2021-2022ssagert2021-04-01T00:00:00-05:00
Please fill in the from below to register your MASC Membership for 2021/2022. Fields noted with the red asterisk are required. Fields that do not apply to your organization may be left blank.
New Registration or Renewal(Required)
Organization Address(Required)
Does your organization have an elected community board?(Required)

#1 Contact Information - Board Member/Staff

Name(Required)

#2 Contact Information - Board Member/Staff

Name

#3 Optional Contact Information

Name

Current Activities

Current activities conducted by your organization. Check all that apply.
Activities

Other Questions

Please answer the following questions about your staffing and insurance.
Does your organization have hired staff?(Required)
Please enter a number from 0 to 10.
Please enter a number from 0 to 10.
Do you carry HIROC insurance offered through MASC?(Required)
Are any of your members/staff interested in Johnson Insurance?(Required)

MASC Membership

MASC's membership year runs from April1 - May 31. The $100 membership fee is due by May 31 of the membership year. (It is possible to prorate this fee for the first year only.) Cheque is to be made payable to MASC. Please ensure your centre/group name appears on the cheque. Forward with this application to:

MASC Membership
Attn: C Newman, Executive Director
3 - 203 Duffield Street
Winnipeg, MB R3J 0H6
Would You Like a Membership Certificate Mailed to You?(Required)
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MASC Admin Area

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Has this Member Paid?
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Has Membership Certificate Been Mailed?
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