Register | Showmens League of America

Application for Membership Canadian Chapter

An International Organization of Showmen – for Showmen

20 Grey Street Brantford, Ontario – N3T 2S8 - 519-304-7020

Date of Application *

Dues are from January 1 to December 31

Prosper Name:*

Applicant Info:

Applicant E-mail*

Applicant First Name:*

Applicant Last Name*

Occupation:*

Street Address:*

City:*

Province/State:*

Postal Code:*

Phone Number*

Birth Date

How long have you been connected to the Amusements Business?: *

With whom and in what Capacity: *

Are you a citizen of the following: *

Other:

References - Please provide two:

Name:*

Address:*

Phone Number*

Name:*

Address:*

Phone Number*

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 $60.00 is to cover the first year membership and $35.00 after that unless changed

Todays Date:*

By Checking This Box, You agree to the terms above. This is your electronic signature.*

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