New Certified Site Applications

Name *

First Name

Last Name

Phone *

(###)

###

####

Applicant Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Site Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

I have read, understood and agree to support the objectives of the club *

I agree

I have read, understood and agree to the T&Cs of certified site membership. *

I agree

I have read, understood and agree to follow the clubs code of conduct and will sign to that effect. *

I agree

I agree that my neighbours will be informed of this application and invited to comment *

I agree

I agree that my local council will be informed of this application and invited to comment *

I agree