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Senior Membership Form 2022 HC&BHC
This form is to be completed by current and new members for the Season 2022 - 2023. Players registering will be asked to pay the annual subscription at the start of the Winter season
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Email
*
Your email
Title
*
Mr
Mrs
Miss
Other:
Required
Full Name
*
Your answer
Contact telephone number
*
Your answer
Gender
*
Female
Male
Prefer not to say
Required
House name / number
*
Your answer
Street name
*
Your answer
Suburb
*
Your answer
Town
*
Your answer
Post Code
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Age on 1st September 2021
*
Your answer
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