MCC Reinstatement

MCC Reinstatement Form

Please fill out the below information
Member Name*

PrefixFirst NameMiddle NameLast Name
What is your Member Number (File Number)
Leave blank if unsure
Date of Birth*

DayMonthYear
Address - The address last updated on your MCC Membership*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Address - Your CURRENT Residential Address (Leave blank if current address is same as above)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail*
Mobile Number*
Mobile Number*
If you believe your membership could be under another name or a different address, please list these below
If you have changed your name, please attach change of name document below

Cancelof
Important Information Regarding Your Reinstatement Application
- Once your application is submitted, we will review our digital archive database to determine if you were previously a member or were previously offered membership.
- If you are found in our digital archive, you will be notified and may proceed with the reinstatement process. At that stage, you must submit a formal letter to the committee explaining why you were unable to maintain or accept your membership.
- The reinstatement process can take up to 90 days, as the committee reviews applications every two months. All outstanding payments, must be paid in full if the reinstatement is approved.
- If you are not found in our digital archive database, we will inform you accordingly.
Please ensure all required information is accurate and complete to avoid delays in processing your application.
I understand the club rules regarding reinstatement*
Should be Empty:

MCC Reinstatement Form