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Australian Alpine Club Perisher

Membership Enquiry Form

 

*Required information.
First Name *
Surname *
State or Teritory *
Your interest in using the lodge...when... * Tick all that apply
Your interest in using the lodge... who... * Tick all that apply
What information would you like? *
Characters left:
How did you find out about AAC Perisher? * Tick all that apply
If other, please tell us where
I am happy to be contacted by email
If Yes, please provide your email address
I am happy to be contacted by phone
If Yes, please provide your phone number/s
I am happy to be contacted by mail
If Yes, please provide your postal address
I PREFER to be contacted by *