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Reference If you have been given a reference or have an invoice number please enter it in this box.

Club applied for: Manukau

Membership Details
Business Name *
First Name *
Last Name *
Email *
Phone Number
Mobile No
Business Classification
Sponsor Please tell us who sponsored you so that they will receive a voucher which they can redeem against their membership renewal. You too will receive a voucher for each new member you sponsor.

Name:

Their club:

Please enter your company address
Address1 * PLEASE ENTER your business registered address. You will be able to change this address as required after your BoB club membership application has been approved.
Address2
Town/City *
County/State/Province *
Post/Zip Code
Country
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