THE UNDERSIGNED HEREBY MAKES APPLICATION FOR ASSOCIATE MEMBERSHIP TO THE AYR MESS

DATE:

LAST NAME:   FIRST NAME:

PLACE OF EMPLOYMENT:

HOME ADDRESS: #, Street / PO Box   City
                                Province                Postal Code  

EMAIL ADDRESS:

TELEPHONE NUMBER:

MILITARY SERVICE

IF APPLICANT IS RETIRED FROM THE CANADIAN FORCES NO SPONSOR IS REQUIRED
(ONLY REGULAR MEMBER OF THE AYR MESS AT 22 WING NORTH BAY CAN SPONSOR NEW ASSOCIATE MEMBERS)

SERVED? YES NO

RANK ON RETIREMENT OR RELEASE:

SPONSOR: Rank Last Name First Name Telephone Number

PMC

APPROVED YES NO

SIGNATURE

PRINT BEFORE SUBMITTING (You must submit a hard copy of this application to the Mess Manager)