Application – New Member

Date of Application Dues are from January 1 to December 31
The undersign is a member in good standing and under the obligation of the Order, proposes for membership in the Showmen’s League of America – Canadian Chapter of Ontario Canada.
Name of Prosper: (required)

Occupation: (required)

Address: (required)

City: (required)

Province/State: (required)

Postal Code: (required)

Phone: (required)

Your Email (required)

Date of Birth: (required)

Place of Birth: (required)

How long have you been connected to the Amusements Business: (required)

With whom and in what Capacity: (required)

Are you a Citizen of the following: (required)
CanadaUSAOther (Specify)
Other:

Do you anticipate any benefit by becoming a member of this organization? (required)

References - Please provided two:

Reference 1 Name:(required)

Reference 1 Address:(required)

Reference 1 Phone:(required)

Reference 2 Name:(required)

Reference 2 Address:(required)

Reference 1 Phone:(required)

I hereby promise that if elected to membership in the Showmen’s League of America (the League) I shall support the Constitution and By-Laws of the League as they now exist and as they may hereafter be changed or amended; that I assume all the obligations and responsibilities of membership in the League that do not conflict with my duties to self, family, religious beliefs and political beliefs and that I shall conduct myself at all times so that no discredit will be brought on the League. I further state that all statements and representations made by me on this application are true and correct to the best of my knowledge.

A Fee of $50.00 is to cover the first year membership and $25.00 after that unless changed

E-Signature of Applicant - Checking this box is the same your signature. (required)
I Agree and E-Sign

Todays Date: (required)