Membership Application

Candidate Member Information

    Your Information - Not Public

    The information that you provide is confidential. Melbourne Makerspace will not make public any of your information from this section.
    Alpha only, minimum 2 characters.
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    Alpha only, minimum 3 characters.
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    Phone number format NNN-NNN-NNNN other formats not supported.
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    ERROR: Email address format required. (YourID@YourDomain.xxx)
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    Address - Why We Ask

    We ask for your residential address. We require it for emergency purposes and billing verification. Melbourne Makerspace does not send mail to its members. We do not release this information to the public or other members. Access is limited to Melbourne Makerspace managers. We do not sell it to mailing list companies. You will be asked to verify your address by displaying your state or federal government issued identification document when you become a member. International members are required to provide a local physical address.
    Just the number 1 - 99999
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    Just the name of the street,
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    Alpha only, spaces allowed, 3 min, 25 max.
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    Five (5) numeric digits. No spaces. No special characters. No ZIP +4.
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    EMERGENCY CONTACT

    Who should we contact in case of emergency. By providing this information you authorize us to communicate with them and release information in an effort to render assistance to you. The information that you provide is confidential. Melbourne Makerspace will not make public any of your information from this section.
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    123-456-7890 format required.
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    ERROR: Email address format not valid.
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    Public Information

    In this section we ask you questions about your skills, knowledge, likes and intent. All answers are optional. This information will be shared with Melbourne Makerspace members.
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    Terms and Conditions

    By agreeing to the stated terms and entering your signature below you apply to become a member of MELBOURNE MAKERSPACE, INC. 401 N.Wickham Rd. #135 Melbourne Florida 32935
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    <SIGNATURE><John Q. Public>
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    Application - Next Activity

    After you press submit, you will receive an email confirming your application. Your next activity will be to attend three (3) events on different days at Melbourne Makerspace. This is required. On your third time attending, your application will continue to be processed. Your identification must be presented and verified as the same as on the application. Your membership dues are expected at or before that time. Access information and devices will be issued after application approved and 1st month dues are collected. Dues must be paid on line at: http://melbournemakerspace.org/contact/ use the Automatic Billing button. IMPORTANT: Your dues payment(s) must reference your name as it appears in this application form.

    Application - Suggestion(s)

    If you have any problems with this form, please email us at admin@MelbourneMakerspace.org
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