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Birthday
Day
Month
Year
Are you a Pilot?
Yes
No
If yes, Rotary or Fix Wing
Licence Type?
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By signing above, I understand that membership is valid for 12 months from the date payment is received. Membership will not renew automatically, and it is my responsibility to complete a new membership form and pay the annual membership fee each year.

Date
Day
Month
Year
Annual Crookwell Aero Club Membership.
$10
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