Canada Koi Club of BC - Koi Kichi, the essence of our hobby

NAME:_______________________________________________________________________________________

ADDRESS:____________________________________________________________________________________

CITY:_____________________________ PROVINCE:________________ POSTAL CODE:______________

PHONE:__________________ E-MAIL ADDRESS (if applicable):___________________________________

Membership Category:

___ lndividual or Family $30.00/year

___ Commercial $30.00 /year no vote

Please make cheque payable to: Canada Koi Club of BC

And mail to: Canada Koi Club of BC

c/o Membership

#131 -720 6th Street

New Westminster, BC V3L 3C5

The Club Executive would like to create a database on club members with regards to their interest and type of pond they have.

How long have you had your pond? __________________When built ______________________________

Size: Depth___________ Gallons____________ Pond Construction________________________________

Pump Type_______________________ UV____________ Filter System____________________________

Other______________________________________________________________________________________

___________________________________________________________________________________________

How many Koi?_____________________ Average size___________________ Goldfish_________________

Any special features on your pond______________________________________________________________

___________________________________________________________________________________________

What would your interests be?

Pond Designs___ Pond Construction___ Filtration___ Plants___ Water Gardening___ Water Quality___

Other aspects related to hobby

Would you like to host a Canada Koi Club meeting at your home?  Yes   No   If yes, which month? _______

Would you like to participate in the Annual Pond Tour?      Yes     No

Would you participate in a member only Koi Display type show?    Yes    No

Any ideas on activities and/or meeting topics or programs you would like to have? ____________________

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