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KNC Membership Subscription

Please enter information on the form below to process subscription for KNC Membership.

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Last Name *

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Suburb *

Postcode *

Phone *

Email *

Comment

Date of Birth: *

Occupation: *

Any Special Skills

Reason/s for becoming a member: *

Agreement

I hereby apply to become a member of the above named association. In the event of my admission as a member, I agree to be bound by the rules of the Association for the time being in force and to pay the Annual Membership Fee as decided by the KDNC Board of Management.

Application Date: *

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Credit Card Number*

Expiration Date*

Card (CVV) Code*

Card Holder Name*

I accept Terms and Condtions

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