Welcome to the club! Please enter your details.

This form is for your basic details. There are different subscription rates and we will discuss the options with you so that you can select the best one.

We are required to maintain a current membership register, because we are an incorporated society. Your details will be kept private and only a few committee members will have access to them. They may be forwarded to the Registrar of Incorporated Societies, but only if they require us to do so.

Required fields are marked with an asterisk (*).

Given name(s)

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* 1. Given name(s)

Family Name

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* 2. Family Name

Postal Address

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* 3. Postal Address

Phone numbers

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* 4. Phone numbers

Email address

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* 5. Email address

(Optional) You can indicate how you would probably like to receive the monthly Phoenixine. You can change your mind later.
A paper copy will increase your subscription. We'll obviously need your email address if you want it by email.

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* 6. (Optional) You can indicate how you would probably like to receive the monthly Phoenixine. You can change your mind later.
A paper copy will increase your subscription. We'll obviously need your email address if you want it by email.

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