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Thank you for joining SFFANZ.

New Membership

Membership *

SFFANZ Member - $ 10.00

Please renew my membership automatically.

Donation Amount *

Total Amount

Please enter a Username to create an account. If you already have an account please login before completing this form.

Username *

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Punctuation is not allowed in a Username with the exception of periods, hyphens and underscores.

Password

Confirm Password

Provide a password for the new account in both fields.

Name and Address

First Name *

Last Name *

Street Address *

Supplemental Address 1

Supplemental Address 2

City *

Post Code

Country *

State

Email (Home) *

Occupation *

(Occupation is required by the Societies Office)

My billing address is the same as above

Billing Name and Address

Billing First Name *

Billing Middle Name

Billing Last Name *

Street Address *

City *

Country *

State/Territory

Post Code

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