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Club XTra Registration Form

Please fill out and submit this e-form. Your application will be quickly processed and your Club XTra Card will be mailed to you within two to three weeks.


*Required Fields


*First Name:
*Surname:
Apt.#:
PO Box:
*Street #:
*Street:
*City:
*Province:
*Postal Code:
  
Telephone:
*E-mail:
 
    

*Required Fields


CANEX may from time to time send Club XTra members material about various services and/or promotions. The Club XTra membership database is for the exclusive use of CFPFSS/CANEX. Your e-mail address will be kept confidential. It will not be given to any other organizations without your consent.

(Please note you receive one (1) Club XTra Card)

Have you moved? You can change your address here.

Do you need an additional or replacement card. Order it here.