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2006 Membership Application Form 1. Contact Information (Please Print) Full Name ______________________________________________________________ Address ________________________________________________________________ Postal Code____________ Home Phone (403) ________________ Fax (403) ________________ E-Mail (please print) ___________________________ Please notify me about upcoming meetings and community events by: (Check the appropriate box) Phone E-Mail Other _____________________________ Yes! I would like to receive Newsletters by: (Check the appropriate box) E-Mail Hand Delivered Other ________________ 2. Membership/Volunteer YES! I would like to be a member of the Sunterra Ridge/Cochrane Heights Community Association. YES! I may be interested in volunteering on behalf of the Sunterra Ridge/Cochrane Heights Community Association and would like someone from the Association to contact me. 3. Community Profile a) I am a resident of: (Please check one) Sunterra Ridge or Cochrane Heights I have lived in this community for: Less than 2 years 2 to 5 years 5-10 years + 10 years b) Number of Adults in your household? ____________ c) Number of Children in your household? ____________ d) Please check the box (s) to indicate the issue (s) that concern you: Land development /zoning Roads Schools Recreational facilities Parks Other ___________ 4. Release Form 1. I agree that the information provided by me wholly or in part within this document is to be retained and utilized by the Sunterra Ridge/Cochrane Heights Community Association. I understand that the information will be used to support the endeavors of the association and may include and is not limited to the dissemination of information, data collection and interpretation and distribution. 2. Further that I agree to release and hold harmless the Sunterra Ridge / Cochrane Heights Community Association, any member, individual employee or volunteer, Director, or Executive Board from any claims, loss, or damage sustained directly or indirectly by releasing the information herein contained on this document. Signature. ______________________ Date. ______________________
All you need to do is print out this page and mail the completed application form along with the required $20.00 membership fee to: SRCHCA P.O. Box 2044 Cochrane AB T4C-1B8 Please
do not send cash in the mail. Cheque must be made out to:
Thank You!
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