I'm assuming you are trying to become a member of MAAC, right?
I'm still not sure what you're looking at. Can you scan the document and post it here. Or, you can go to the MAAC website and click on the link "New Member on-line Application" on the left hand side, or scroll down the page a bit and look for the Membership Application under the 2007 Club Documents.
Just so you know, signing for 2006 will cost you half the yearly membership. If you aren't going to be flying until 2007, check the appropriate box.
http://www.maac.ca/e_docs.php