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Glenn Wildey
2019-08-07T12:02:29+10:00
Applicants Name (required)
*
Date of Birth (required)
*
Email Address (required)
*
Phone Number (required)
*
Home Address (required)
*
Postal Address
Occupation (required)
*
Special Interests (required)
*
Story of Applicants History (required)
*
Partners Name
Partners First Name
Partners Last Name
Transfer Member? Previous Club
Club Number
Family
Student
Young Adult
Leo
Former Leo
I agree to pay my Membership fee of (required)
Single $90.00
Couple $170
and once only joining fee of (required)
$40.00
Motorhome Description (required)
*
State Motorhome Registered (required)
*
Motorhome rego Number (required)
*
File may be attached:
Sponsors Name (required)
*
* Required
Office use only
New member added to AMLC website
New member added to facebook page
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F01420Membership20Application20Fillable20V3
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AMLC membership application form
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