WESMEN
DUCKWORTH CENTRE 
NEW MEMBERSHIPS OR RENEWAL FORM 
 

 

Required information is indicated with an asterisk *
 
*First Name:  
*Last Name:
Phone  
*Home:
Work:
Membership Type:
Staff, Student, Alumni, Public
or Corporate
 
*email:		  
 		  
Address  
*Street:
*City:
Province:  
Postal Code:  
 
 
Check only APPLICABLE choices
 
renew my membership as previous
renew my membership as previous but add locker and towel service
I am new and want to join but please contact me to explain all of my options

Additional Info (if you have specific questions or need to supply additional info)
  
 

 Duckworth Centre Customer Service can be reached at 204 786-9349 or via email at duckworth@uwinnipeg.ca