ࡱ> bda5@ 0:bjbj22 6>XX ttttttt8J,vtv|>@$dRlEttt0tttt `mF0v""tttt"t0~,|d ~~~d iThe Memorial Society of Edmonton and District Application for Membership Memberships are a one time fee of $25.00 each. Dependent children are included free on one adult membership. I wish to join the Society and enclose the membership fees of$  FORMTEXT      Your Name: FORMTEXT       FORMTEXT       FORMTEXT      First NameMiddle name(s)Last NameSpouse: FORMTEXT       FORMTEXT       FORMTEXT      (if applicable)First NameMiddle name(s)Last NameComplete Street Address: FORMTEXT      please include apartment number if applicableCity: FORMTEXT      Province: FORMTEXT      Postal Code: FORMTEXT      Telephone: FORMTEXT      Email: FORMTEXT       Please make cheques payable to the Memorial Society of Edmonton and District. Please contact me regarding volunteer opportunities  FORMCHECKBOX  yes  FORMCHECKBOX  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 members 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 the Memorial Society. 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 upon the following limitations: By making inquiry or by accepting any referral/ literature, Members agree that The Memorial Society of Edmonton aIx      0 2 F H J T V X Z n p r | ~ ԶȤܜܜԊȤxȤfȤ#jhrXh$CJUaJ#jThrXh$CJUaJ#jhrXh$CJUaJhrXCJaJ"jhrXCJUaJmHnHu#jhrXh$CJUaJjhrXCJUaJhrXCJaJhrXhrXCJaJhY>*CJaJhYCJaJhYCJ0aJ0(.Ix     $w$w$3$3|< CoZCZ CZ C$IfgdrXl5Tkdt$$Ifl0$T  t44 la$IfgdrXlBd$IfgdrXlB$a$$a$gdrX ::   0 X l Cp[C[ C[ C[l C$IfgdrXl4zkd$$Ifl\$f  D t44 la$IfgdrXl5 pCp lp lpl l$IfgdrXl+6zkd<$$Ifl\$f  D  t44 la   & ( * 4 6 8 : N P R \ ^ ` b v x z . 4 6 8 L N P Z \ ^ ` ڼΪژΪچΪtΪ#j hrXh$CJUaJ#jhrXh$CJUaJ#jhrXh$CJUaJ"jhrXCJUaJmHnHu#jhrXh$CJUaJjhrXCJUaJhrXCJaJhrXhrXCJaJhrXhrXCJaJhrXCJaJ- pCp Cp Cpl C$IfgdrXl4zkd$$Ifl\$f  D  t44 la  8 ` pCp Cp Cpl C$IfgdrXl4zkd$$Ifl(\$f  D t44 la plp lp lpl l$IfgdrXl+6zkd$$Ifl\$f  D  t44 la pCp Cp Cpl C$IfgdrXl5zkd$$Ifl\$f  D  t44 la 0 2 4 pfCp Cpl C$IfgdrXl#5zkd$$Ifl(\$f  D t44 la4 6 ^ ` $CB*$l$$Ifa$gdrXl#5Akd $$Ifl$h% t44 la$IfgdrXl#5gkdb $$IflF$> D t    44 la`      * , . 0 H J L ` b d n p r ΪΪΪtΪ#j hrXh$CJUaJ#jl hrXh$CJUaJ#j hrXh$CJUaJ"jhrXCJUaJmHnHu#j hrXh$CJUaJjhrXCJUaJhrXhrXCJaJhrXCJaJhrXCJaJhrXhrXCJaJ*  .  CCC C$IfgdrXl#5Akd $$Ifl$h% t44 la. 0 J r p4Cp CpnCp C$IfgdrXl#5zkd $$Ifl\vH4$  t44 la pCpFCpnCp C$IfgdrXle5zkdX$$Ifl\H$  Fn  t44 la DG{|}󼴬wcwwOwFhrX6CJaJ&jh$h$CJU]aJ&jh$h$CJU]aJ jh$hrXCJU]aJh$hrXCJ]aJh$hYCJ]aJh$hYCJ]aJhYCJaJhrXCJaJhrXhrXCJaJ"jh$CJUaJmHnHu#j9h$h$CJUaJh$CJaJjh$CJUaJ FGBCX9~$]~$~$]t$t$]~$]j$wj$wj$wj$w ddgd$ ddgdrXddzkd$$Ifl\*H$Fn t44 la BCUVX899::::::hohX5hhX5hCJaJhYhX5h6CJaJUh$6CJaJhY6CJaJhY6>*CJaJh$6>*CJaJhY6CJaJnd District shall not be responsible or liable in any way to the Members or anybody, for any injury, loss or legal claims of any kind. Members not agreeing to this release of liability are respectfully declined. The Memorial Society of Edmonton and District (MSED) #1108(lower level) 10235 -124 Street NW Edmonton, Alberta T5N 1P9 www.memorialsocietyedmonton.ca March 2010 99:d:::::::$]$]$]$]$]$]$] dgdX5h$qdd^qa$gd$ $qdd^qa$ $dda$ 4-p6;0/ =!"#$%tDText2$$If!vh5T5 #vT#v :Vl t0,5T5 / $$If!vh5f5 5 5D #vf#v #v #vD :Vl t0,5f5 5 5D tDText3tDText4tDText5$$If!vh5f5 5 5D #vf#v #v #vD :Vl t0,5f5 5 5D / $$If!vh5f5 5 5D #vf#v #v #vD :Vl t05f5 5 5D / $$If!vh5f5 5 5D #vf#v #v #vD :Vl( t0,5f5 5 5D tDText6tDText7tDText8$$If!vh5f5 5 5D #vf#v #v #vD :Vl t0,5f5 5 5D / $$If!vh5f5 5 5D #vf#v #v #vD :Vl t05f5 5 5D / $$If!vh5f5 5 5D #vf#v #v #vD :Vl( t0,5f5 5 5D $$If!vh5>5 5D #v>#v #vD :Vl t0,5>5 5D tDText1$$If!vh5h%#vh%:Vl t0,5h%/ $$If!vh5h%#vh%:Vl t05h%/ tDText9vDText11$$If!vh5555 #v#v#v#v :Vl t0,5555 / / vDText10vDText12$$If!vh5 5 5F5n #v #v #vF#vn :Vl t0,5 5 5F5n / / vDText13$$If!vh555F5n #v#v#vF#vn :Vl t0,555F5n / tDeCheck1tDeCheck2`@` Normald1$*$#B*CJOJQJ_HaJmH sH tHDAD Default Paragraph FontVi@V  Table Normal :V 44 la (k(No List DA@D Default Paragraph Font6U@6 Hyperlink B*ph>*FOF X3AS7TOCHyperlink B*ph>*0O!0 BulletSymbolx@2x Normal.d*$1$]^`#B*CJOJQJ_HaJmH sH tHOB No Spacing.dd*$1$]^`#B*CJOJQJ_HaJmH sH tH>OaR> X3AS7TABSTYLE  ]76 @b6 Footer H$ $z@sz rX Table Grid7:V0d*$1$4@4 X5hHeader  !>.Ix    /CWXYds}~23abh|IJEF[_`00000X 0X 0\ 0 0 0 0 0 0X 0000\ 0X 0000\ 0X 0X 0X 0X 0\ 0X 0000\ 0X 0X 0X 0X 0\ 0 0 0 0 0 0X 0X 0X 0\ 0X 0\ 0X 0\ 0X 0000\ 0X 0000\ 0X 00X 0X 0\ 000000000000000@0My0004Oy00t l@m0qrvw O900dlM900 M900 My00 @0w  ` :  4 . 9: : '-/;ACOU*0htzFFFFFFFFFFFFFG$G$Text2Text3Text4Text5Text6Text7Text8Text1Text9Text11Text10Text12Text13Check1Check20Di  .BV1{ &'(T)*+T,-./T01xx       >*urn:schemas-microsoft-com:office:smarttags PostalCode9*urn:schemas-microsoft-com:office:smarttagsStateh *urn:schemas-microsoft-com:office:smarttagsCity0http://www.5iamas-microsoft-com:office:smarttagsV *urn:schemas-microsoft-com:office:smarttagsplacehttp://www.5iantlavalamp.com/  Ybh|F[WestwoodYX5hrX$(o    /CWXYds}~23abh|@Dզ@P@P P P@P8UnknownG: Times New Roman5Symbol3& : Arial7&{ @CalibriBhc3j3q$00!r4d3QH(?YThe Memorial Society MSEDWestwoodOh+'0> ,8 T ` l xThe Memorial Society 1he MSEDemoSED'Memorial Society Application Form 2010f WestwoodSoc5stMicrosoft Word 10.0@V@Ԥ@}l@?xm0G\<VT$mP    ."Systemr0@  -@"Calibri- 2 XX March 2010G(#,**** 2 X 2'8@"Calibri-O2 m-The Memorial Society of Edmonton and Districtaid-diF.`.-\iU.dC[-i=-biiiCii.`ii-{.NCF.UC 2 ~ u22 ~Application for Membershiptii..U`C.ii-=iF-didENi.i 2 m u@"Calibri-P2 X.Memberships are a one time fee of $25.00 each.V2P42#'55'0#10452!P22243332320*5 2   :-e2 oX<Dependent children are included free on one adult membership>2515424"*55#240#15*5515#2154452/55"P2O52#&55- @ !$ zX- 2 o| . 2 o  :F2 kX'%N I wish to join the Society and enclose G'5"454!52.5*2"-05525*5'12 kJ%N the !52&2 k%N membership fees ofO2P51"'5522'5 2 k %N  1 2 Y{ H $3 2 Y H   2 Y H  2 Y H  2 2 Y H  2 Y H  2 2 Y) H  2 Y) H  2 2 Y[ H  2 Y[ H  1 2 Y H  2 Y H  2 2 Y H  1 2 X% 2 2  2 2  z  2 2  t  2- @ !,K -- @ !w -- @ !C{ -2 X %Your Name:155"A0P1 2 9% 1 2  2  2 2 5 2 5 2 2 g 2 g 2 2  2  2 2  2  2 2  1 2  z  2  z  2 2 O z  2 O z  2 2  z  2  z  2 2  z  2  z  2 2  z  2  z  2 2  z  1 2  t  2  t  2 2  t  2  t  2 2  t  2  t  2 2 =t  2 =t  2 2 ot  2 ot  2 2 t  1 2  X% 2-2   First Name& 6(C) 2  r * 2   z Middle name(s)G,,),(B)  2  0 z  *2  t Last Name #( 6(B) 2  t  *- @ !-- @ !-- @ !-- @ !w -- @ !C{ - H +- 2 X% 2' H -  2  2' z H -  2  z  2' H z -  2 t  2'- 2 X%Spouse.555'1 2 }%: 2 % 1 2  2  2 2 5 2 5 2 2 g 2 g 2 2  2  2 2  2  2 2  1 2  z  2  z  2 2 O z  2 O z  2 2 z  2 z  2 2 z  2 z  2 2 z  2 z  2 2  z  1 2 t  2 t  2 2 t  2 t  2 2 t  2 t  2 2 =t  2 =t  2 2 ot  2 ot  2 2 t  1-"2 X%(if applicable)(,,#(,) 2 "% *2  First Name& 6(C) 2 r * 2  z Middle name(s)G,,),(B)  2 0 z  *2 t Last Name #( 6(B) 2 t  *- @ !8 -- @ !8 -- @ !8 -- @ !8 w -- @ !C8 { -(  +- 2 - X% 2'(  -  2 -  2'( z -  2 -  z  2'(  z -  2 - t  2'-  2 X%C5.2 %omplete Street Address: 5P52!2.!#21"955#2'& 2 h% 2 2  z  2 2 t  2 2 ' X% 2 ' X% 2 2 ' % 2 ' % 2 2 ' % 2 ' % 2 2 ' % 2 ' % 2 2 ' % 2 ' % 2 2 ' R% 1 X +-O2 -%please include apartment number if applicable.,)( ),#,-)(,(B),,,B,)(,,#(,) 2 % *'- @ !T +-- 2 5 X%_City: 5"- 2 5 %_ 2 2 5 Y  2 5 Y  2 2 5 Y  2 5 Y  2 2 5 Y  2 5 Y  2 2 5 "Y  2 5 "Y  2 2 5 TY  2 5 TY  2 2 5 Y  12 5 #   Province:4#5-5*2 2 5    1 2 5 0   2 5 0   2 2 5 b   2 5 b   2 2 5   2 5   2 2 5   2 5   2 2 5   2 5   2 2 5 *   12 X %Postal Code:45'"05552 2 S% 1 2   2   2 2   2   2 2 A  2 A  2 2 s  2 s  2 2   2   2 2   12 #  ) Telephone:12245542 2  )  1 2 V #  2 V #  2 2 #  2 #  2 2 #  2 #  2 2 #  2 #  2 2  #  2  #  2 2 P #  1- @ !Qb \-- @ !b -- @ !Bb -- @ !&b -- @ !b & -- @ !b * -2 aX%Email:1P0 2 aR% 1 2 a  2 a  2 2 a   2 a   2 2 a;  2 a;  2 2 am  2 am  2 2 a  2 a  2 2 a  1 2 a#  )  2 2 aV #  2- @ !F -- @ ! & -- @ !R-- 2 X 1-2 WXPlease m420'2Pq2 WDake cheques payable to the Memorial Society of Edmonton and District0-1*52452'5/-052!5"51V1P5#0-5*2"-405P54"45/55>'"#*"- 2 W. 2 W$ 0 2 X 1-Y2 6X4Please contact me regarding volunteer opportunities 420'2*45"0*!P1#2/0"55/-554"22"4555""45"2' 2 6  '--HW  --'- 2 6`  yes-2& 2 6  '--HU  --'- 2 6^  nos55 2 6  :@"Calibri- 2 X 12 XXUpon receipt of this membership application, a package will be mailed to the applicant c5+++(#(+++ B(B+( +++++#++*++*#&++(;+(B+(+*+(*++#++#/2  ontaining a designation *+++++++( +++*+2 lXuform for each membership applied for, a booklet of instructions and a wallet card. It is the members responsibility +B+(+#+B(B+( +++++(++++++&(++ +#++ ++++;+(#++ +'B(B+( ( +++ +%2 Xnto then complete and promptly return the designation form to MSED. That form is then forwarded to the funeral ++(+#+B+('+++++B+%(+++(+( ++++++B+G&)3(+++B +(++;,+(+++(++(+2 7Xprovie++%m2 7Ader and also kept on file at the offices of the Memorial Society.i+(++++ +&(+++(++(+#( ++(G(B++&+#(% 2 7A  0@"Calibri- 2 X '- &2 XExculpatory Clause!""""#"" - @ !X- 2 S: 2 e  2 t (2 0XVSociety members understand that the Memorial Society of Edmonton and District is a non" 5 5" """ """"#"!9 5""" #!"5""#""#"*#""" 2 0 -X2 0 3profit society, and referrals to Funeral Providers """!""" !"""" "#"" 82 X/literature is given upon the  "" " "#"""" ,2 Vfollowing limitations:""0"#5#"" 2  (2 XqBy making inquiry or by accepting any referral/ literature, Members agree that The Memorial Society of Edmonton ai$5""""#"""" """##  " "" 9 5" "" ""!" 9 5"#" #!"5"""""12 nd District shall not be ""*""""" 2 $Xresponsible or liable in any way to the Members or anybody, for any injury, loss or legal claims of any kind. Members not agreeing to this release  """" ""# """0"""!9 5" """""""#""""" "#"5#""""9 6" """" ""#" !" F2 uX'of liability are respectfully declined.""""  " #" " " 2 u (- 2   1L2 <S+The Memorial Society of Edmonton and Distri(+(G(B++&+#(%+)+A++++++*3 2 <K ct (MSED) #G&)3 2 <  212 T#1108(lower level) 10235 )***++;)(%(***+* 2  -2  124 Street NW++*&((6J 2   012 8Edmonton, Alberta T5N 1P9 )+B+++*0+(+(*6*+* 2   1-82 nwww.memorialsocietyedmonton.ca;<;B(B++ +#(%(+B++++#+@"Calibri- 2 nh  5- - @ !<qX-  --                    ՜.+,0 hp|  eA The Memorial Society Title !"#$%&'(*+,-./012345678:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXZ[\]^_`cRoot Entry F 쩉meData  j1Table)"WordDocument6>SummaryInformation(98>DocumentSummaryInformation8YCompObjj  FMicrosoft Word Document MSWordDocWord.Document.89q