Webmaster: Brian diCenzo POP#103
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CANPOPS/SOS
CANADIAN PARACHUTIST OVER PHORTY
SKYDIVERS OVER SIXTY
since 1984



MAILBOX

EMAIL
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CANPOP/SOS MEMBERSHIP APPLICATION FORM
ENTER YOUR INFORMATION ON THE RIGHT SIDE
THEN CLICK ON THE SUBMIT BUTTON AT BOTTOM OF PAGE
OR USE YOUR BROWSER PRINT BUTTON TO PRINT THE COMPLETED FORM
GIVEN NAME
SURNAME
STREET ADDRESS
CITY
PROV./STATE
COUNTRY
POSTAL CODE / ZIP CODE
TELEPHONE
 - numbers only - no spaces or dashes
EMAIL
DATE OF BIRTH
NUMBER OF JUMPS
C.S.P.A. NUMBER OR OTHER ASSOCIATION NUMBER
LICENCE NUMBER
CLUB AFFILIATION
   
   
PLEASE CHECK ALL THE APPLY
PARACHUTIST OVER PHORTY           $15.00 = LIFETIME MEMBERSHIP FEE
SKYDIVERS OVER SIXTY      FREE IF ALREADY A CANPOPS MEMBER
   
   
PLEASE CLICK ON YOUR METHOD OF PAYMENT
EMAIL MONEY TRANSFER
CHEQUE
MONEY ORDER
CLICK HERE TO GET A BLANK PRINTER FRENDLY FORM
THAT CAN BE USED AT MEETS ETC.

Mailing address

Brian diCenzo
29 Petworth Rd.
Brampton, On.
L6Z 4C7