Account Holder Information

Account Holder: Tania Akter
Address: 2915 Parliament Avenue, Regina, SK, Canada, Unit 25 Regina SK S4S 2L3
Organization:
Primary Phone Number: 6395253441
Work Phone:
Mobile Phone: 6395253441
Email Address: taniakinti@gmail.com

Media & Communications

Media Consent: I provide media usage consent
Newsletter: Please send me via email new club Membership Information., Please send me via email new club News & Event Information., Please do not send me any marketing or communication emails.
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Member Notes:

I am opening this membership account for my kid