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Fill in the form below to apply for Membership
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Name
*
First
Last
School/Group Name/Company Name. (If any)
Email
*
Telephone Number
I am joining as:
Individual Adult
Secondary School Student
University/Institution Student
Small Business
Big Company
NGO
Conservation Organization
Group
Are currently a member of any Hiking Club? (Specify)
Sex
Male
Female
Age Range
Below 18 years
19-25 years
26-35 years
36-45 years
46 and above years
Describe am I
Where are you located? (Country)
Where are you located? (District)
What business do you do?
Do you smoke?
Yes
No
Occasionally
Marital Status (Please ignore if you are applying as a group/company
Married
Single
Divorced
Describe your favorite hobbies and interests:
Tell us more about yourself/your Organization/Company
Tell us about your interests as Uganda Hiking Club Member.
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