Star Membership Registration
This form is for both new and current members of Star Boating Club Inc. and must be completed each season
First Name *
Please type your first name
Your answer
Middle Name(s)
Please type your middle name(s)
Your answer
Last Name *
Please type your last name
Your answer
Date of Birth *
What is your date of birth in dd-mm-yyyy eg 23-05-1966
Your answer
Address *
Please type your full addresss
Your answer
City *
Type your city, eg: Wellington
Your answer
Home Telephone Number *
Your answer
Work Telephone Number
Your answer
Mobile Telephone Number
Your answer
Primary Email Address *
Your answer
Membership Type *
Please indicate what type of membership you require
Required
Membership Level *
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This form was created inside Star Boating Club.