Membership Form
Application for Membership
Printable version of the form (in .pdf format)
(Need software to open this document?)
Memberships are a one time fee of $25.00 each.
Dependant children are included free on one adult membership.
If the membership fee is a burden, please contact us.
I wish to join the Society and enclose membership fees of $_________
Your Name: ______________ __________________ ________________
First name Middle name (s) Last Name
Spouse : _______________ __________________ ___________________
If applicable) First name Middle name (s) Last Name
Complete Street Address:
_________________________________________________________________________
Please include apartment number if applicable
City:_____________________ Province: ___________
Postal Code:_________ Telephone: ____- __________
area code phone number
Please make cheques payable to The Memorial Society of Edmonton and District.
Please contact me regarding volunteer opportunities (yes/ no)_________
Upon receipt of this membership application, a package will be mailed to the applicant containing a designation form for each membership applied for, a booklet of instructions and a wallet card. It is the member’s responsibility to then complete and promptly return the designation form to MSED. That form is then forwarded to the funeral provider and also kept on file at the offices of MSED.
Exculpatory Clause
Society members understand that The Memorial Society of Edmonton and District is a non-profit society, and referrals to Funeral Providers/literature is given only upon the following limitations:
By making inquiry or by accepting any referral/literature, Members agree that The Memorial Society of Edmonton and District shall not be responsible or liable in any way to the Members or anybody, for any injury, loss or legal claims of any kind. Members not agreeing to this release of liability are respectfully declined.
The Memorial Society of Edmonton & District (MSED)
#1108 (lower level) 10235 - 124 Street NW
Edmonton, Alberta T5N 1P9
Please note our office hours have expanded:
Our office is open Monday, Wednesday, Thursday and Friday
From 9:00 am - 2:00 pm
phone: 780-944-0196 fax: 780-944-0791
E-mail - click here
This site is provided by the Memorial Society of Edmonton
updated February 19, 2010
Webpage design provided by Steve's
Free web templates
Counter Stats
melbourne dry cleaners Counter
| 