Crown Jewels of Canada Society

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Page two must be attached to any other page(s) you send to our office. Dear Members We re trying something new this year. One form to cover everything! There are too many out-dated forms floating around and hopefully by sending everything at once, you ll save a copy for your files so you ll always have the necessary form(s) on hand. Please note: The membership due date has changed and is now February 1 st, 2012. You all get one free month! This means all forms & payment for membership & optional insurance are due at the same time. Please allow a MINIMUM of two weeks for your mail to reach us. Please DO NOT send via registered mail or Priority post. I assure you this will only delay your mail reaching us. If you have questions, remember to contact your Provincial Representative. She is there to help you. Get to know her! You are not able to register for the 2012 convention in Regina until you have your 2012 membership confirmation. Our office will happily accept your post-dated cheque & application, dated February 1, 2012, which will help speed things up for those wishing to register for the convention, and for those Snowbirds who are heading south shortly. Please ensure that you have added our email address info@crownjewelsofcanada.com to your safe senders list. If you re not receiving the monthly newsletters, may we suggest you use one of the many internet-based email programs such as gmail or yahoo for your email address? As our newsletter is sent to thousands of members sometimes your computer believes it to be spam or your internet provider blocks it. All newsletters (back to early 2009) are on the member s website in the archives under the main tab in the top left corner (look for the red box) Newsletters are sent on the 1 st or 2 nd of each month so if not in your inbox, check your spam/junk mail folder. It just might be in there! If you wish to register for the members website use this link http://cdnjewels.ning.com/?xgi=2tkouh6lfivn46 Note that you re not already registered so you re not signing in you must sign-up/register to join the website. You re not a member of the website just because you re a member of the CJCS. When the page opens, enter your own email address, then the password CJCS Retype CJCS and enter your birth date then type the two words shown below that then click SIGN UP where you will be taken to a Profile page. Complete all answers then scroll to the bottom of the page and click on JOIN You will then see a notice saying Your membership to Crown Jewels of Canada Society is pending approval. The program then sends a notice to our office for confirmation that you are a member of the CJCS. Do not click on withdraw request as it might lock you out permanently. Once approved, you ll receive an email saying: Congratulations! Your Canadian Jewels membership has been approved. The link is http://cdnjewels.ning.com/profile/yourname (please bookmark it so you can return to the site in the future) Clicking on the link takes you to the sign-in page. Sign in using the email address and password (CJCS) you used to register with. (hint if you never log out it will remember your password and email and make it easier to log in the next time.) Once on the site you can edit your profile, change the background of your page, change or upload a photo of yourself. How to add or change your photo: Use a photo from your computer, for your profile. We like to see our members helps us recognize you at events. Often filed under photos on (Vista) or my photos on (Windows XP) Go to "settings" which is right under your name on the right, click on settings and go to "My profile". Under your name in the middle of the page, click on the little green icon, and a window will appear asking you to "browse" your computer. Click browse, search your computer for your photo, click on it and then click "done". Then scroll down to the bottom of the page and click "save". When you go back to your page, your photo should appear. Remember to click on SAVE! Thank you, YOUR BOARD OF DIRECTORS & PROVINCIAL REPRESENTATIVES Page 1 of 6

2012 MEMBERSHIP: Information (Due in our office by February 1 st, 2012) You cannot register for the convention until your membership has been processed Chapter Name: City Chapter Registered under: Province: WE ARE: New chapter: ; Renewing chapter: ; Open to new members: yes no ; Number of members in the chapter: A chapter is a group with a minimum of two members. Individual members may not hold the title of Queen, therefore they are not eligible to attend Royal Court (Queen) gatherings. They will be listed as an independent. (one not affiliated with a chapter.) Members who belong to more than one chapter shall pay the registration fee only once. They have the choice of being registered under just one chapter, or paying the $5.00 annual fee for each chapter they wish to be registered in. Members in multiple chapters pay insurance just once, under one chapter. Name of Queen of Chapter: Address: City/Town P Code Phone # Email Address: (please print very clearly as all communications from our office are sent via email) Name of - Vice Queen: yes no Treasurer: yes no Address: City/Town P Code Phone # Email Address: (please print very clearly as all communications from our office are sent via email) One form & one cheque per chapter. Incomplete applications will result in a delay. Memberships are not pro-rated. Memberships are from February 1, 2012 until January 31, 2013. All memberships expire on January 31 st unless a renewal has been submitted prior to the renewal date. You cannot register for the convention until your membership has been processed. Applications will not be processed without the following information, legibly printed or typed, on a separate page or printed clearly on page two. We require the following 4 pieces of information for every member of your chapter: (1) Name (2) Full postal mailing address (3) Telephone Number (4) Email address printed CLEARLY Please list members names and information clearly typed, on separate page or complete forms attached and submit with payment. One-time registration fee for new members $5.00... $ Office Use: 2012 Annual Membership fee (new/renewing members) $5.00... $ 2012 Insurance Registration (optional) @ $8.00 per member (full legal name req d).. $ Data entered Dep # pins @ $8 or 1 pin @ $10... $ Cost of one pin is $10. Discount for multiple order $8/pin, (minimum 2 pins. All shipped to same address) Receipt Pins Ordered 1 Rhinestone pin: CJCS pins @$12/pin (OR for 1 pin $15.00) $ (Shipping & Handling included, all pins will be sent to the Queen s address above - lower price for multiple orders when shipped together to one address) Total enclosed:... $ Payable To: Crown Jewels of Canada Society Mail To: Crown Jewels of Canada Society, Box 29012, Okanagan Mission RPO, Kelowna, B.C. V1W 4A7 Signature of Queen or authorized member (i.e. Vice Queen or Treasurer) Page 2 of 6

2012 MEMBERSHIP: List of chapter members Attach to Page TWO or you may submit a typed list of your members rather than completing this form. (Please print VERY carefully as all communications from our office are via email) If a new member in your chapter is transferring from another chapter, please add her membership number at the end of her name. # 1 - Name: # 2 - Name: # 3 - Name: # 4 - Name: # 5 - Name: Page 3 of 6

Please make additional copies of this page to add more members or submit a typed roster of your members with the above information. Memberships cannot be processed without this information. NOTE: If you are looking for a chapter to join, or if your chapter is open to accepting new members, please contact your Provincial Representative. 2012 MEMBERSHIP: Add a member Attach to Page TWO or you may submit a typed list of your members rather than completing this form. (Please print VERY carefully as all communications from our office are via email) # 1 - Name: # 2 - Name: # 3 - Name: # 4 - Name: Page 4 of 6

2012 INSURANCE: Application/Renewal - Attach this form to page two For renewing chapters: Insurance Registration # (i.e. BC 11-012) - Assigned when you received your original receipt) Number of Jewels to be insured: (Renewals are due in our office by February 1 st, 2012) Chapter Name (i.e. Dazzling Divas of Danbury) Registered under: City Province: Name of Queen of Chapter: (i.e. Mary Smith) I hereby acknowledge that I have reviewed all of the information with respect to the insurance offered by the Crown Jewels of Canada Society. A list of those to be covered under our policy is herewith submitted with payment in full. I hereby assume all financial responsibility to pay for our account on time. It is understood that renewals and applications must be received in the CJCS office prior to February 1 st, 2012 and are due with membership renewals. It is understood that there are no refunds. Fees are not pro-rated for those who join mid-way through the year. If a member belongs to more than one chapter, she pays insurance only once, to one chapter. I hereby verify that I understand the above and have printed below or attached a list of the legal names of our chapter members. (i.e. Margaret Alice Smith not Peggy Smith) Applications not accepted without receipt of clearly printed list of legal names of members participating. Signature of Chapter Queen Date IMPORTANT: Complete all areas of registration and return this page & page 2 with payment, payable to Crown Jewels of Canada Society, to: Crown Jewels of Canada Society, prior to Feb. 1/2012. Attach typed list of members or complete below. (full legal name required: Margaret Louise Smith not Peggy L. Smith) 1. Full Legal Name 2. Full Legal Name 3. Full Legal Name 4. Full Legal Name 5. Full Legal Name 6. Full Legal Name For CJCS Office Use: Number to be insured @ $8.00 each Payment Received: $ Paid by Page 5 of 6

2012 INSURANCE: Add a member Attach this form to page two Amendments/new members will be submitted to the insurance company June 15 th, September 15 th & December 15 th if received prior to these dates Chapter Registration # (i.e. BC 204-001) Chapter Name (i.e. Dazzling Divas of Danbury) Registered under: City Provinc e: Name of Queen of Chapter: (i.e. Mary Smith) Email Address: (please print very clearly) I hereby request the names listed below be added to the existing policy (registration number supplied above) and am enclosing payment in full. I understand and agree that should we decide at any time to cancel and withdraw from the policy that we are required to do so in writing by completing a Release of Interest form and submitting it to the CJCS office a minimum of 45 days prior to the renewal date. It is fully understood that there are no refunds. Signature of Chapter Queen Date IMPORTANT: Complete all areas of registration and return PAGE TWO & this completed form with payment, payable to Crown Jewels of Canada Society, and mail to: Crown Jewels of Canada Society, TOTAL ENCLOSED Members X $8.00 = $ List name(s) to be added (full legal name required: Margaret Louise Smith not Peggy L. Smith) 1. Full Legal Name 2. Full Legal Name 3. Full Legal Name 4. Full Legal Name For office use only: To be processed: June 15 th September 15 th December 15 th Date Paid Deposit # Receipt Sent Forwarded to Insurance Agent Page 6 of 6