Calendrier 57

2022 Renewal Form

(January 1 to December 31)

*This form is only for those who are (or were) members and wish to make their renewal and payment via the Internet using PayPal.

If you were a member in the past, please indicate the CICCW membership number that you had, it belongs to you.

By clicking on the "Payer" button at the bottom of the form, you will be directed to PayPal's fully secure site.

To use PayPal, you can open an account if you don't have one with them (it's free). By creating an account, you determine the payment method: bank account or credit card (Master Card or Visa). Or you may pay with your credit card on the PayPal login page.

Renewal fee: $ 35,00 (CAN) OR $ 40,00 (CAN)

PayPal transaction fees (3% + $ 0,45)

Total amount charged: $ 36,50 (CAN) OR $ 41,65 (CAN)

This payment method will save you time and expenses (check, envelope, stamp, etc.) and your renewal will be effective the same day.

P.S. You are required to fill in the fields marked with a red asterisk. Clicking on the "?" will give you additional information.

Member 1
Member 2
Age group
Sending documents

The 2021-2022 Board of Directors unanimously voted that the Info-Falia would no longer be published. The main reason is the lack of content coming from the members.

The binder contents (which include the Membership Directory and other documents) are presently only available in paper format. As soon as they are electronically avaliable, they will be sent by email.

Overnight Hook-up
A "yes" means that you are willing to host another Club member who is passing through your region, for one night with a space (and possibly an electrical outlet).

I confirm that I am the sole owner of the Westfalia registered in this form. I understand that from the sale of the Westfalia recorded above, I lose all Club membership privileges without refund, in whole or in part, of the annual fee.

Right to image

I authorize the CICCW to broadcast my image during activities organized by and for the Club only.

Terms and Conditions

In accordance with the Protection of Personal Information Privacy Act, I authorize the CICCW to publish the present information in its Membership Directory only. Also, I commit myself not to use the Membership list for personal gain nor to transmit it or encourage such practices.

Security Code

For the security of our web site against spammers, we ask you to reproduce the security code below. If you have difficulty deciphering the characters, use the refresh button below the image to create a new code.

Choose a renewal option
Powered by BreezingForms