Become a Member

Please fill in the form below for each member of your family, including all children.

Please add the members who have nominated you for membership in the notes section - Please email membership@lwtc.org.nz if you have any queries.

Our membership officer will be in contact with you shortly.

Title

First Name(s)

Maximum 50 characters.

Last Name

Maximum 50 characters.

Preferred Name

Maximum 50 characters.

Maximum 80 characters.

Last Logged In

Gender

Male

Female

Date of Birth

Occupation

Maximum 100 characters.

Skills

Any skills that may be of interest to the club Maximum 400 characters.

Address To

Maximum 200 characters.

Address Line 1

Maximum 50 characters.

Address Line 2

Maximum 50 characters.

Suburb

Maximum 50 characters.

Town / City

Maximum 50 characters.

Postcode

Maximum 10 characters.

Country

Maximum 50 characters.

Home Phone

Maximum 30 characters.

Work Phone

Maximum 30 characters.

Mobile Phone

Maximum 30 characters.

Fax

Maximum 30 characters.

Website URL

Maximum 100 characters.

Joining Comments

Any other comments about joining for the club, including members you know, why you want to join etc. Maximum 1000 characters.

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