E-Mail: info@canadianunitytravelclub.ca
Phone: 1-877-204-2020
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Family Registration

Please fill out all the information to sign up. Only Canadians may join as members.

The annual membership fee for a family unit of up to four persons is $200.00 plus 5% GST

If you can't think of a username try using your last name plus first initial.
All fields marked with a * are Required.

Username: *
Password: *
Password Again: *

Please fill out the information for the number of people desired.
Person 1
First Name:  *
Last Name:  *
Date Of Birth:  *
Sex:
Occupation:
Retired:
Person 2
First Name:  *
Last Name:  *
Date Of Birth:  *
Sex:
Occupation:
Retired:
Person 3
First Name:  *
Last Name:  *
Date Of Birth:  *
Sex:
Occupation:
Retired:
Person 4
First Name:  *
Last Name:  *
Date Of Birth:  *
Sex:
Occupation:
Retired:
Family Address and Information
Street Number: *
Street Name: *
Town/City: *
Province: *
Postal Code: *
Home Telephone Number: *
E-mail: *
Referral ID:
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