Membership Form
Lismore Gem & Lapidary Club Inc.
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Email *
First Name *
Last Name *
Postal Address *
Suburb *
State *
Postcode *
Phone Number *
Occupation *
Date of Birth *
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/
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/
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How did you find out about the club *
Rate your Knowledge of Lapidary *
Beginner
Advanced
Do you Know any current Members? *
Payment
There is a $10 Joining fee as well as Membership Fee Adults $20 Juniors U16 $6
Membership Type *
Payment Made Via *
A copy of your responses will be emailed to the address you provided.
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