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Pioneer Co-op 2026 AGM Registration Form
*
1.
Full Name (First, Last)
*Every attendee
MUST
register themselves individually, even if you have a joint membership account*
(Required.)
*
2.
Email Address
(Required.)
*
3.
Phone Number
(Required.)
*
4.
Place (town/city) of residence?
(Required.)
*
5.
Co-op Member Number
(Required.)
*
6.
Will you be attending In-Person (5pm on April 22nd, Living Sky Casino), or Virtual?
(Required.)
In-Person at the Casino
Virtual (Online)