Retirees Club Local Section 712 IAMAW
BOMBARDIER AIRBUS STELIA
Name of retiree:____________________________________
First name of retiree:_________________________________
Birthday (MM/DD): __________
Address:____________________________
City:________________________________ Postal code:_________-_________
Phone:________-_______-__________ Cell:_______-_______-__________
E-mail:____________________________@_________________________________
Spouse or Friend
Name of spouse, (friend):____________________________
First name of spouse, (friend):__________________________
Birthday (MM/DD): __________
Address:____________________________
City:________________________________ Postal code:_________
Phone:________-_______-__________ Cell:_______-_______-__________
E-mail:____________________________@_________________________________
Registration Date ________/________/_20 ______
Jour / Month / Year
Disclaimer form
of
IAMAW Retirees Club Local Section 712
BOMBARDIER AIRBUS SETLIA
THE IAMAW Retirees Club Local lodge 712
BOMBARDIER AIRBUS STELIA
Does not hold itself responsible for accidents, injuries, or damage occurring during a meeting
or an event organized by the
IAMAW Retirees Club Local Section 712
BOMBARDIER AIRBUS STELIA
______________________ ______ ____/____/____
Name in square letters No Day/Month/Year __________________ Signature
Form 2024
You can print this page,
fill it out and bring it
at the Club meeting to register!
ANNUAL MEMBERSHIP CARD15:00$
(valid from January 1 to December 31)
payable by check only, made payable to
C.R. Loge 712 Bombardier Canadair