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Get MEMBERSHIP APPLICATION FORM - Pirates Sports & Rugby Club

O.za or fax to 086 518 2428 To the Members of the Club Council , Pirates Club Greenside Title: Surname: First Names: Date of Birth: Occupation: I, the undersigned, (details above) hereby make applications for membership of Pirates Club Greenside. Applicants Signature Parents/Guardian (If applicant is under 18 years of age) Date joined Pirates Sports Club Section I wish to become a member of: Telephone Number: Home Work Cell: Fax Number: Email address: Postal Address Code: Residential A.

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