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NEW ZEALAND:
(All fields except those marked ** are required)
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YOUR EMAIL ADDRESS:
(a private one if possible rather than work email): |
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| YOUR FIRST & LAST NAME: |
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| YOUR PARTNER/MATE'S FIRST NAME **: |
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ENTER YOUR DESIRED TICKET ALLOCATION:
("1" if just you or "2" if with a partner/mate):
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PLEASE ENTER WHAT WILL BE YOUR MEMBERCODE:
(the first part of your email address before the @ ):
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| ARE YOU A WOOFCLUB MEMBER ON FACEBOOK?: |
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| IF A MEMBER REFERRED YOU, PLEASE LIST THEIR EMAIL ADDRESS **: |
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| IF YOU HAVEN'T BEEN REFERRRED BY A MATE OR THROUGH FACEBOOK, PLEASE LIST A PUBLIC WEB-PROFILE OR GIVE A GENERAL DESCRIPTION OF YOURSELF **: |
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| INCLUDE ANY OTHER RELEVANT INFO HERE **: |
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| WHAT'S YOUR GENERAL LOCATION **: |
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| IF YOU'D LIKE TO BE ADDED LATER TO THE MELBOURNE OR SYDNEY MAILING LIST AS WELL AS NZ, PLEASE CHOOSE ONE OF THOSE OPTIONS HERE: |
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YOUR AGE GROUP:
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