Devon and Cornwall 4x4 Response

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Membership Application Form
  1. Please fill in our membership form if you would like to join us. Membership costs £30 (£45 joint) for the first and second year, then £15 (£22.50 joint) yearly - please see the details further down in this form.
  2. Full Name(*)
    Please type your full name.
  3. E-mail(*)
    Invalid email address.
  4. Alt E-mail
    Invalid email address.
  5. Home Phone Number
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  6. Mobile Number
    Invalid Input
  7. Address 1
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  8. Address 2
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  9. Town
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  10. City
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  11. County
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  12. Post Code
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  13. Date of Birth
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  14. Membership Type
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  15. Number of Years Licence Held(*)
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    Minimum is three years
  16. Clothing Size
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  17. Team
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    Please indicate which team you would like to join. For times and locations of the meetings look HERE.
  18. Please click next to fill in the 2nd page
  1. Operational Members Only
  2. Vehicle Make
    Invalid Input
  3. Vehicle Model
    Invalid Input
  4. Registration
    Invalid Input
  5. Number of Passenger Seats
    Invalid Input
    How many people can you carry? Some callouts will require a certain carrying capacity.
  6. Any relevant modifications
    Invalid Input
    Such as a snorkel which would mean you would be better suited for flooding support.
  7. Emergency Contact Details

    Who should we contact in an emergency?
  8. Name
    Invalid Input
  9. Address
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  10. Telephone
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  11. Mobile
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  12. Passport Picture
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    If available, please upload a recent passport picture for your membership card.
  13. Any comments?
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  14. Accept Terms
    You need to accept the terms and conditions.
    Please check to confirm that you have read, understood and accept these terms and that you agree to abide by the Rules of the Group.
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