MEMBER INFORMATION
Please complete this online form and
bring to any HPTA event to register. If you prefer to pay by cheque
print the page of the completed form (by pressing CTRL + P, or using
the PRINT ICON at the top of your browser) and attach your cheque. Mail
the form and the cheque to HPTA c/o Les Sutch 73 Palace St Brantford
N3T 3W8. When we have received your payment your membership will be
registered and your membership package will be mailed to you.
Name *
Mailing Address *
City *
Province *
ZIP/Postal Code *
What type
of HPTA Events interest you ?
Please choose at least 1 & at most 3
options below:
