Membership Form
Name: *
Please state your first and last name.
Your answer
Address: *
Your answer
Phone Number: *
Please enter digits only (no dashes)
Your answer
E-mail: *
Your answer
Occupation:
Your answer
Date of Birth: *
MM
/
DD
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What is your membership status?
NB: If you are registering as a new member, you would be required to pay your membership fee and any dues in arrears at the next monthly meeting that is held at the community center after the pandemic.
Please tick the following options if they apply to you: *
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