ANARE Club: NEW Membership - Online Application Form

ARE YOU A PRIOR OR LAPSED MEMBER?	Please DO NOT Complete this form, please REGISTER here instead
WOULD YOU PREFER TO POST A PRINTED APPLICATION INSTEAD?	Please Download Member Application Form and post to The Secretary
ANARE Number	3176
Title
First Name
Last Name
Initials
Home Address
Mail Address (If different from above)
Town/Suburb
State	Overseas? Select OTHER and provide further information in the COMMENTS field below
Postcode
Country
Email
Phone	please include area code
Mobile
Joined Year	2019
Antarctic Station
Antarctic Year
Antarctic Season
Antarctic Position/Job
COMMENTS e.g Further ANTARCTIC Service/History: Please provide further information as possible, including ALL years, seasons, bases, jobs etc. Any other comments e.g STATE, if Overseas address has OTHER.
Allow Member Lookup	select 'No' if you don't want other members to find you.
Password	by default your ANARE number - 3176, but can be anything less than 20 characters.
Confirm Password
Initial Membership Period	Join (or Renew) for 10 years and get 12 Years membership.