Life Saving Course Signup -:- BMD Northcliffe Surf Life Saving Club, Australian Champion Club 2004

Course Signup Form

Please use the form below to signup for a Certificate / Course, Check that the date is correct, if "No Date Scheduled" you will be informed of next date.

Every box marked with an (*) should have an entry. Thank you.
*Name :
*Email :
*Mobile :
*Current Member :
*Cert/Course :
Notes :

#NOTE: All information provided will be treated as confidential information and will not be provided to third parties.

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Location:
Cnr Garfield Terrace & Thornton Street,
Surfers Paradise, Queensland 4217
Telephone: (07) 5539 8091
Facsimile: (07) 5531 7071

Postal Address:
BMD Northcliffe Surf Life Saving Club
Po Box 980, Surfers Paradise,
Queenland 4217,
Australia

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programming peter blakeley
Attain Computer Consultants

Course Signup Form

Every box marked with an (*) should have an entry. Thank you.