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MEMBERSHIP FORM - THE JOHN FARNHAM OFFICIAL FAN CLUB

Name :(first) _______________________________________________

         (surname)____________________________________________

Address : _________________________________________________

Postcode: _______________

Phone : (H) (___) ________________) (W) (___) _________________

(M)_________________________

E-mail address : _____________________________________________

DOB : ____________________ M/F : _________

NEW MEMBERS
New members are welcome.
However, due to current circumstances there is no fee at present.

PASSWORD
You will need to supply a user name and password (case sensitive)
as newsletters are delivered electronically
.

User Name ______________________

Password ________________________


Send completed forms to:
Voice Events PO Box 1014 North Fitzroy VIC 3068
or email voiceevents@johnfarnham.info


   
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RENEWAL

NEW MEMBERSHIP