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* 1. Name:

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* 2. Membership Number:

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* 3. Email address:

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* 4. Mobile phone number:

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* 5. What dates are you going to be in Bermuda?

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* 6. Where are you staying while you are in Bermuda?

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* 7. How many people are in your party?

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* 8. Additional names of people in your party:

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