Membership Application Form

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Membership Application Form

I would like to apply for membership of Tranmere and Clarence Plains Land and Coastcare Inc. (TACPLACI)

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Email *

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Name *

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Address *

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Phone number *

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I am interested in joining TACPLACI because.....

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I have deposited $10 annual family membership fee to TACPLACI's bank account BSB 632001 account number 100088646 account name No. 2. I have recorded my name in the reference field of the direct credit. *

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