Member Details

Please complete the following 10 question survey so that we can ensure that HRFC member records are complete and up to date. Once you have answered the questions, simply press the "DONE" button at the bottom of the sheet to submit your response.
Thanks

Bob Finch
Club President

Ph  0428 767 279

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* 1. What is your first name?

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* 2. What is your last name?

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* 3. What is the street address where you currently live?

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* 4. What is your Home Telephone Number?

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* 5. What is your Mobile Phone Number?

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* 6. What is your Date Of Birth?

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* 7. Do you give the Club's Committee approval to pass your contact details to others? (Other than in an emergency situation)

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* 8. Who would you like to be contacted in case of emergency?

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* 9. What is the telephone number of your emergency contact?

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* 10. If you would like to enter any further comments, you can do so here.

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