Social Membership Order Form (Couple)

KLUFC Social Membership Order Form 2013.  Use this form to order a social membership to the Kingborough Lions United Football Club. Your Social Membership will not be active until the order total of $35.00 has been receipted in the KLUFC Bank Account (payment details provided once you submit form).

Member Details
First Name of applicant
Surname of applicant
Phone Number
DOB ■
Date of Birth
/ /  
Please enter your FFA number if you have one and can remember it
Address
Second Member Details
First Name of second applicant
Surname of second applicant
Second applicant email address
Second Applicant Phone Number
DOB (Applicant 2) ■
Second Applicant Date of Birth
/ /  
Please enter second applicant's FFA number if they have one and can remember it
Additional
Please enter any additional comments.
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