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How to join
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Falls Creek
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Contact Details
First Name:
Last Name:
Address:
Suburb:
Postcode:
Phone (Home):
Phone (Work):
Phone (Mobile):
E-Mail:
University Details
Student Number:
University:
Campus:
Course:
Education Level:
Higher Ed
TAFE
Student Type:
Full Time
Part Time
Origin Type:
Local Student
International Student
Current year at uni:
1
2
3
4
5
6
7
8
9
10
Expected Completion:
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
Personal Information
Date of Birth:
January
February
March
April
May
June
July
August
September
October
November
December
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Gender:
Male
Female
Link to Forum username:
N/A
SUSS & Snow Details
No. Years a suss member:
0
1
2
3
4
5
6
7
8
9
10
Skiing:
Yes
No
No. years:
Experience:
Never before
Beginner
Intermediate
Advanced
Snowboarding:
Yes
No
No. years:
Experience:
Never before
Beginner
Intermediate
Advanced
Hiring Information
Height:
Weight:
Emergency Contact
First Name:
Last Name:
Relationship:
Phone (Home):
Phone (Work):
Phone (Mobile):
Payment: $35 membership [
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]
Payment: $80 membership [
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]
Transaction Reference Number:
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