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Langi-Taan Membership - Expression of Interest
Please complete this form to express your interest in becoming a member of the Langi-Taan Ski Club.
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Email
*
Your email
Your Full Name
*
Your answer
Your Date of Birth (DDMMYYYY)
*
Your answer
Your best contact number
*
Your answer
Your residential address
*
Your answer
Your postal address (please complete if different from your residential address)
Your answer
Please list any current lodge members who may provide a reference for you
*
Your answer
Please highlight any skills or experience that may be of interest to the club
*
Your answer
A copy of your responses will be emailed to the address you provided.
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