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Registration Form
Frequent Membership

First Name

Last Name

Membership Type

Are you over 18

Yes

Date of Birth

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Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone Number

Mobile if possible

What would you like to get out of joining Colchester Makerspace?

Membership Termination

I agree to give at least 10 days written notice to quit my membership