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DSWW Inc Membership Application
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* Indicates required question
Email
*
Your email
Sponsor
*
Your sponsor must be a Full Member who in their opinion, consider you as someone who supports the DSWW objects and Values Statement.
Your answer
Membership type
*
Full Membership includes voting rights, course eligibility and provides access to physical infrastructure and equipment. Casual Members receive regular communications and are eligible for online courses.
Full Member - $50
Casual Member - $20
Payment Method
*
Payment instructions are provided at the last step.
Credit Card/Paypal
Bank Transfer
Cash
Surname
*
Your answer
First name(s)
*
Your answer
Preferred name
Your answer
Phone / Mobile number
*
Your answer
Current address
*
Suburb, State, Postcode
Your answer
Year of birth
*
Your answer
Sex
*
Male
Female
Prefer not to say
Branch of Service (If applicable)
Army
Navy
Air Force
SES
Police
Paramedic
Fire
Family Member
Supporter
Other:
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Emergency contact
Your answer
Emergency contact relationship to member
Your answer
Emergency contact phone / mobile number
Your answer
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