If approved for membership, I hereby give permission for my personal contact information to be shared with the members of the Markham Probus Club. This information will remain confidential to the membership. *
Yes No
I authorize Markham PROBUS to publish my full name and any images supplied by me or of my participation in club activities or events in our newsletter or on our website. *
Yes No
Your name tag preference is. *
Magnetic Clip style
How would you like your name to appear on your name tag? *
Membership type
Notice: You have reached your maximum number of individual entries for this registrant.
Membership type *
There are no available categories for the age of this registrant.