USS Mawson Membership Request!

Please complete the Form and check the boxes in the form below to submit your request for Membership and be sent Newsletters.

Name:
Street Address:
Suburb:
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Date of Birth:
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Are you a member of the International Federation of Trekkers?
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If YES, what is your IFT Number:  
Membership Request
Platinum
ITF Affiliate
General
Junior
Junior (11-18)
Preferred Sci-fi/Cult Series (e.g. Star Trek DS9, Buffy, Smallville, Stargate..)
Interests or Hobbies
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