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Karori Bowling Club Membership Form
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* Indicates required question
Full Name
*
Your answer
Membership type
*
Full membership ($139)
Community membership ($109)
Partner membership ($20)
Partner's name (required for Partner membership)
Your answer
Nominated by (please give the name of a current member who supports your membership)
*
Your answer
Seconde
d by (please give the name of a current member who supports your membership)
*
Your answer
Address
*
Your answer
Date of birth
*
MM
/
DD
/
YYYY
Email address
*
Your answer
Phone
Your answer
Emergency contact name
*
Your answer
Emergency contact phone number
*
Your answer
Emergency contact email address
Your answer
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