Required fields are marked with asterisks (*)

Recreation Centre Corporate Membership Request - Employee/Retiree

This form is for use when employees or retirees of the Municipality are requesting to purchase a membership for the Nature Fresh Farms Recreation Centre.

Those eligible for a discounted membership include:

Current full-time employees
Fire Services employees
Retirees who retired from full-time service with the Municipality

Available membership packages include:

Annual membership ($490.00 + tax) - Corporate annual membership with 50% discount: $245.00 + tax

Annual senior membership ($393.00 + tax) - Corporate annual senior membership with 50% discount: $196.50 + tax

Please note:

Part-time employees and retirees of the Leamington Police Services and PUC are not eligible for corporate membership rates.

First Name

Last Name

Phone Number

E-mail Address

Address

City

Personal information on this form is collected under the authority of the Municipal Act, 2001 P.S.O. c.45, and will be used to administer the Recreation Centre Membership Request form. Questions about the collection of this information can be directed to the Manager of Legislative Services/Clerk, Municipality of Leamington, 111 Erie Street North, Leamington, N8H 2Z9, Telephone: 519-326-5761.

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