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Spaces are allowed; punctuation is not allowed except for periods, hyphens, apostrophes, and underscores.

E-mail address *

A valid e-mail address. All e-mails from the system will be sent to this address. The e-mail address is not made public and will only be used if you wish to receive a new password or wish to receive certain news or notifications by e-mail.

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Address

Please give us your postal address, in case we need to contact you the old fashioned way.

Country *

Full name *

Address 1 *

Address 2

Postal code

City *

Phone

Contact Phone		Order
	Contact Phone	Weight for row 1

Put one or more phone numbers here where club members or committee can contact you. These phone numbers are normally visible to all club members, but there is a privacy setting to change that.

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This question is for testing whether you are a human visitor and to prevent automated spam submissions.

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