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Expression of Interest Form
Are you interested in joining Rotaract?
If so, please fill out the following form and join today!
(all this information will be kept confidential)
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Email *
First Name *
Last Name *
Age *
Address and Suburb *
Phone number
How did you find out about us
Preffered method of Contact? *
Required
What time is the best time to contact you? *
Do you have a Current Working with Children's check  If you don't the club will request you to get one.
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 Number and Expiry date
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