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Membership Category:*

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Title:*

First Name:*

Last Name:*

Date Of Birth:*

Sex:*

Email:*

Alternate Email1:

Alternate Email2:

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Address:*

Suburb:*

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Home Phone:

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Address:

Suburb:

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Work Phone: Ext:

Fax No.:

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Advertising:

Would you like to be contacted for upcoming events and promotions from WCC? Your details will not be sold or given to any third parties.:*

Yes

Photography and Videography:

Do you authorise the use of any photos & or videos taken at an authorised event to be used for advertising or promotional use associated with WCC? This applies to every member on this application unless stated by the titles member. This applies only to authorised photographers & videographers approved by WCC. WCC has no authority over non-authorised photographers & videographers but will help investigate unauthorised use of digital material if a complaint is brought to our attention. Photos & videos used for promotional use by WCC are uncompensated by the applicant.:*

Yes

West Coast Cowboys (WCC)

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