Bell Aliant Pioneers Membership Application

This on-line form is for employees and retirees of Bell Aliant and predecessor companies in Atlantic Canada who wish to join the Bell Aliant Pioneers team.

Correspondence can be addressed to:

TelecomPioneers of Canada
PO Box 236
Grayson, Saskatchewan
S0A 1E0

Membership dues are $22.00 annually for employee Regular Members and you can remit payment to the above address. Dues deductions are no longer an option from payroll, so you will receive an invoice from the Bell Aliant Pioneers at the beginning of each year for your annual dues.

If you are retired, you are considered a Life Member and are exempt from the payment of dues.

All inquiries can be directed to info@telecompioneers.ca

CONTACT INFORMATION:
First Name:  
 
Initial:
Last Name: Preferred Name:

Home Address:
Address: City:

Province:


Postal Code:

Telephone:    Date of Birth: *optional
Primary
email:*

*required 
 
If you were recruited by someone - please type their name here:  

Spouse or partner's info:
First Name; Last Name:

Work Information:
Employee
Status :
City/Town:
Province: Email Address:
Comments: