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Membership Application Form
Complete this form to apply for membership to the Kingaroy Soaring Club
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* Indicates required question
Email
*
Your email
Name
*
FirstName and LastName
Your answer
Street Address
*
Your residential street address
Your answer
Suburb or Location
*
Your residential suburb or location
Your answer
Post Code
*
Your answer
Postal Address
if different to residential address
Your answer
Phone number
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
are you over 18years of age?
*
Yes
No
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