Membership Application Form
Complete this form to apply for membership to the Kingaroy Soaring Club
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Email *
Name *
FirstName and LastName
Street Address *
Your residential street address
Suburb or Location *
Your residential suburb or location
Post Code *
Postal Address
if different to residential address
Phone number *
Date of Birth *
MM
/
DD
/
YYYY
are you over 18years of age? *
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