Please fill out the form, print off and mail or fax to Paramount Acceptance.

DATE: Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010  

NAME:

RE: REQUEST FOR MEMBERSHIP CARD

MEMBERSHIP NUMBER:

CADA-Canyon Meadows CADB-Northeast CADF-Westbrook EDEA-Westgate EDEB-Heritage EDED-Northgate

You must submit a fee of $10 plus GST. This is payable by Money Order, VISA or MasterCard.

Please be advised your account must be up to date before we can process a new card.

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