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Membership type
*
Renewal
New member
Applicant name
*
Co-applicant name (if applicable, e.g. spouse)
Address
Postal code
Phone
Applicant e-mail
Co-applicant e-mail (if applicable)
Declaration
*
I have read and agree to the following terms
1) I/we agree to abide by GIRO's Bylaws and Constitution, and
2) By supplying an email address to GIRO, I/we agree to receive notices of general meetings of members to be held by GIRO by way of the email and other information from time to time.
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You are donating to :
GIRO Donation Form
How much would you like to donate?
$10
$20
$30
Would you like to make regular donations?
I would like to make
one time
weekly
monthly
yearly
donation(s)
How many times would you like this to recur? (including this payment) *
2
3
4
5
6
7
8
9
10
11
12
Name *
Last Name *
Email *
Phone
Address
Additional Note
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Membership form