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CHAS
Registration

Country Heritage Agricultural Society

2026 Annual Membership Application Form

First name*

Last name*

Address*

Postal Code*

Phone Number*

Email*

Important Notes:

Only memberships purchased before March 1 of any given year provide eligibility to vote at the Annual General Meeting for the year.
New membership applications will be acknowledged at the AGM.

Annual Membership Fee is $20.00, effective January 1, 2025.

Fee is subject to change by the Board of Directors

Payment Method:*

Cash

E-Transfer (Please send to finance@countryheritagepark.com)

Cheque

Communication Consent:

CHAS communicates primarily by email (AGM notices, newsletters, renewal reminders, event information).

Single choice

I consent to receive electronic communications from CHAS.

I prefer to receive communications from CHAS via mail delivery.

Why would you like to become a CHAS Member?

This helps us better understand and support our members.*

Volunteer Interests:

Please choose one.

Events & Festivals

Education Programs

Heritage Buildings & Grounds

Fundraising & Sponsorship

Committees/ Board Services

Farm Equipment/ Building Maintenance

None of the Above

Acknowledgment

By signing below, I confirm that:

I support the mission of the Country Heritage Agricultural Society.

I agree to uphold CHAS bylaws, policies, and the member Code of Conduct

I understand that membership is subject to Board approval and is non-transferable.

I understand that only memberships purchased before March 1 qualify for voting privileges at the AGM for the current fiscal year.

Full Name*

Date*

Year

Month

Day

Signature*

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Country Heritage Agricultural Society (CHAS) is a Canadian registered Non-Profit Organization.

Charity Number: 813821006 RR 0001

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CHAS Registration

Country Heritage Agricultural Society

2026 Annual Membership Application Form

Acknowledgment

CHAS
Registration