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Application for membership
Probus Club Flagstaff Hill Inc
New member details for inclusion in the clubs member database
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Surname
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Given Name
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Preferred Name
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Address
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Telephone (Landline or Mobile)
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Partners Name
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Email Address
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Date of Birth
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In case of Emergency - Phone Number (please contact)
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Former Vocation (Skills /Career)
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Hobbies, Sporting & Other Interests
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