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Membership Application
Name
Name
First
Last
How did you hear about the club?
Emergency contact details
Emergency contact details
First
Last
MobilePhone
Do you have an Australian Sailing Number

Maximum file size: 10.49MB

Prosper Details (This needs to be a senior member of the Club)
Prosper Details (This needs to be a senior member of the Club)
First
Last
Seconder Details (This needs to be a senior member of the Club)
Seconder Details (This needs to be a senior member of the Club)
First
Last
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