Agricultural Society Membership Form Agricultural Society Membership Step 1 of 2 50% Agricultural Society Name(Required)General AG Society Main Phone Number(Required)General AG Society Main email(Required) Mailing Address Street Address Address Line 2 City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Primary Contact(Required) First Last Primary Contact- Phone Number(Required)Primary Contact Email(Required) President Name(Required) First Last President - Phone Number(Required)President Email Secretary Name(Required) First Last Secretary Phone Number(Required)Secretary Email Treasurer Name(Required) First Last Treasurer Phone Number(Required)Treasurer Email Type of Facilities ( Arena / Rink / Rodeo Grounds / etc) Add RemovePHYSICAL FACILITY ADDRESS Street Address Is the facility owned by AG society or just managed / operated by AG ?OWN FACILITYOPERATE & MANAGED BY AGN/AYear Facility was BuiltPremise Identification Number ( PID # ) :( if applicable ) If the Agricultural Society has any livestock in their facilities anytime during the year a PID # is required by Alberta Agriculture and Forestry to meet Federal regulations. Website Facebook Twitter Membership grants AAAS access to your annual reporting and bylaws, for the purpose of Ag Society industry analysis and support. No, we are not agreeable to the release of our financial statements, bylaws, activity reports, and business plans to the Alberta Association of Agricultural Societies (AAAS) Date(Required) MM slash DD slash YYYY Signature(Required)I agree to the terms and conditions: We authorize the release of the Primary Contact Person on the AAAS website & in AAAS publications. **E-mail address and consent is required – To enable AAAS to communicate time-sensitive information to your society, please provide an email address for the Society. If your Key contact, president, or secretary does not have access to e-mail, please ask someone in your society to provide e-mail coverage for you. AAAS MEMBERSHIP(Required) Membership ($400) - Pay by Credit Card Membership ($400) - Pay By Cheque Total: $400 - Pay By ChequeTotal Credit Card American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Month Month010203040506070809101112 Year Year20242025202620272028202920302031203220332034203520362037203820392040204120422043 Security Code Cardholder Name Payment Notice: Please note, upon submission payment is required before your membership is complete. If you would prefer to pay by check Please send a check to: Alberta Association of Agricultural Societies Suite 108, J.G. O’Donoghue Bldg., 7000 – 113 Street, Edmonton, AB T6H 5T6. If you wish to pay online, please use the online payment form on this page. AAAS will send you a copy of your receipt once payment is finalized. There is no GST charged for Membership Fees.EmailThis field is for validation purposes and should be left unchanged.