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Add New Junior Member

(To be completed by Parent or Guardian for any member under 16 years)

Member# 1000000782, Card Number*
PARENT OR GUARDIAN
Title Given Names* Surname* Library No.
Postal Address* Town* Area
 
Street Address if different Town
 
NAMES OF ALL CHILDREN NEEDING CARDS
F M*
Given Names* Surname* School Date of Birth
(dd/mm/yy)*
 
F M*
Given Names* Surname* School Date of Birth
(dd/mm/yy)*
 
F M*
Given Names* Surname* School Date of Birth
(dd/mm/yy)*
 

Ethnicity Ethnicity Notes Membership Category*
 
MEMBER CONTACT DETAILS
Phone (Home) Phone (day) Fax Email
 
ALTERNATE CONTACT DETAILS
Name* Phone Relationship*
 
Notes
 
LIBRARY USE
Notes
 

 

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