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* 1. Please indicate if you are a new or existing member:

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* 2. Title (Mr, Mrs, Ms, Dr etc)

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* 3. First name

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* 4. Surname

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* 5. Firm name

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* 6. Job title

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* 7. Mailing address

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* 8. Business address

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* 9. Email

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* 10. Work phone number

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* 11. Mobile number

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* 12. Facsimile

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* 13. Please indicate the member services you wish to receive:

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* 14. Do you have any special interests? If so, what are they?

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* 15. Do you follow an AFL team?

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* 16. Are you:

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* 17. Do you have any preferred area of specialisation or particular interest?

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* 18. How did you find out about the Critical Point Network?

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