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Membership

Registration Form

Hi All
Please fill out this form for this years registration to July 2012
All Club fees are set at $5
We have set up a bank account at the Southland Building Society under
WindSports Southern Association
03 1355 0612764 00
Please put your name on the deposit slip so we can trace where the money is coming from

Fields marked with are required. 

Role
PlayerCoachReferee/Umpire
OfficialCommitteeManager
VolunteerAthleteSupporter
First name
Last name
Email address
Date of birth
Sex
Address
Suburb
Town/City
Phone
Mobile
Work
Kiter / Windsurfer / Blokart/ Social
You level of experance Beg/Int/Expert/Awesome/Trier
Do you want your contact details posted so others can contact u
Comments
Verification
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WHY?
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Only $95 for two months