25 Wellington Street, HOWICKph (09) 534-9702
Application For Couples Association
(2 PEOPLE LIVING AS A PARTNERSHIP AT THE SAME ADDRESS)
Date of Birth:
Has either person been refused or had your membership revoked from any other Club?
If yes, name of Club and details:
We hereby agree to abide by the rules of the Association and certify that the above information is correct.
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