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Playing Membership Application Form
Membership Tier
Full Playing Gold
Full Playing Silver
Intermediate #1
Intermediate #2
Full Playing Bronze
Social Playing
Veteran (Note: Please bring in declaration)
Name
Email
Date of birth
Business / Occupation
Postal Address
Phone (Home)
Phone (Work)
Phone (Mobile)
Please Click this box if you DO NOT wish your contact details to appear in the Members Fixtures Book
I DO NOT WISH
Email Address
Emergency Contact
Phone
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