Joining Application

 Personal Details 

First Name
Last Name
Senior:

First Name
Last Name
Senior:









First Name
Last Name
Junior:
 		D.O.B:
First Name
Last Name
Junior:
 		D.O.B:
First Name
Last Name
Junior:
 		D.O.B:
*Junior members cannot join the club with out a senior member.  
 
 Contact Details
Address Line 1:




Address Line 2:












Phone:
 		Mobile:
 		Fax:

Email:
 


 Other Details
Where did you hear about the Christiania Ski Club?
Please indicate how you would prefer to pay and the Membership Secretary will contact you regarding payment details.(If you select Direct Credit, bank account information will be sent to you when Invoice is sent)
 Cheque
 Direct Credit
 
Comments/Notes   



Apply for membership
If you have completed all the relevant fields above you may click the button below.
This will email a copy of your application to the Membership Secretary who will contact you as soon as possible.