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Membership Details
Kyabram Fauna Park Members
Primary Member Details
First Name
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This person will be responsible for managing the membership account and will receive all communications.
Last Name
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Email
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Please nominate the email address you would like to receive all communication to.
Mobile
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Please nominate a mobile number for your account.
Date of Birth
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Do you have any additional members in your family?
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Postal Address
Street
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Suburb
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State
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Victoria
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South Australia
Western Australia
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Postcode
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Secondary Member Details
First Name
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Last Name
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Date of Birth
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Do you have any additional members in your family?
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Yes
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Third Member Details
First Name
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Last Name
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Date of Birth
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Do you have any additional members in your family?
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Yes
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Fourth Member Details
First Name
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Last Name
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Date of Birth
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Do you have any additional members in your family?
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Yes
No
Fifth Member Details
First Name
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Last Name
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Date of Birth
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Do you have any additional members in your family?
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Yes
No
Sixth Member Details
First Name
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Last Name
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Date of Birth
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I agree to Zoos Victoria storing and using my data in accordance with the Zoos Victoria Membership T&Cs and Zoos Victoria Privacy Policy. You can access this policy here: https://www.zoo.org.au/privacy-and-legal/.
*
Yes
