350 after eb $370 $385 after eb $405 $295 after eb $315
Transcription
350 after eb $370 $385 after eb $405 $295 after eb $315
2016 PISCINE VILLAGE DE POINTE CLAIRE FORMULAIRE D'ABONNEMENT- POINTE CLAIRE VILLAGE POOL MEMBERSHIP FORM 2016 NOM DE FAMILLE / FAMILY NAME MÈRE - MOTHER'S NAME PÈRE - FATHER'S NAME ADDRESSE RUE - STREET ADDRESS VILLE - CITY CODE POSTAL - POSTAL CODE MÈRE - MOTHER PÈRE - FATHER TÉL MAISON - HOUSE PHONE TÉL BUREAU - OFFICE PHONE TÉL CELLULAIRE - MOBILE PHONE COURRIEL - EMAIL NOMS D'ENFANTS - CHILDREN'S NAMES AGE DATE DE NAISSANCE - DOB PVPC website/site web: http://pvpcweb.yolasite.com/ http://www.ville.pointePointe Claire Outdoor Swimming claire.qc.ca/en/2013-02-05-13-34Pools / Les piscines exterieures 38/outdoor-pools.html de Pointe Claire: RATES: EARLY BIRD RATES APPLY TO MEMBERSHIPS & PAYMENTS RECEIVED ON/BEFORE MAY 28, 2016. AFTER THE REGISTREATION DATE OF MAY 28TH, AFTER EARLY BIRD (EB) RATES APPLY. CATÉGORIE D'ABBONNEMENT RESIDENTS DE P.C./MEMBERSHIP CATEGORY P.C. RESIDENTS X ALPs: http://www.jumptoalps.com/index.htm Facebook: https://www.facebook.com/publicpool? ref=hl PVPC et ses membres doivent se conformer au Code de Conduit ALPS PVPC and its members must abide by the ALPS code of conduct NON-P.C. RESIDENT/ NON RESIDENT DE P.C. Aucun remboursement des frais d'abonnement après le début des programmes FAMILLE - FAMILY $350 AFTER EB $370 $385 AFTER EB $405 ADULT (18+) & CHILD $295 AFTER EB $315 $335 AFTER EB $355 ADULTE - ADULT (18+) $140 AFTER EB $150 $160 AFTER EB $170 JEUNE - YOUTH (12-17) $155 AFTER EB $165 $175 AFTER EB $185 Date: COUPLE (2 ADULTS/2 ADULTES) $235 AFTER EB $255 $260 AFTER EB $280 Montant payé - Amount paid SENIOR - SENIOR (60+) $60 AFTER EB $70 $75 AFTER EB $85 par cheque ou comptant - by check or cash SENIOR COUPLE - COUPLE SENIOR (60+) $100 AFTER EB $110 $115 AFTER EB $125 cheque # - check # No refund on membership fees once the programs have begun Signature: