Uppercanadamembership

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Upper Canada Region

• 

Name *

First

Last

Partner Name *

First

Last

Complete address including Postal Code *

Email *

Multiple Choice

• Upper Canada Region

Preferred Method of Payment

• ETransfer (we will follow up with details)
• Cheque or Money Order
• Cash (Payable at your first event)

Vehicle 1 Ex. 1912 Ford Model T

Email 2 Vehicle

Vehicle 2

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