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4) I have fully read and agree to the [[Code of Conduct]] | 4) I have fully read and agree to the [[Code of Conduct]] | ||
Member Name: ________________________________________ | |||
Membership Number or Email Address: ________________________________________ | |||
Signed Member: ________________________________________ | Signed Member: ________________________________________ | ||
Date: _________________________________________ | Date: _________________________________________ | ||
Inductor Number or Email Address: ________________________________________ | |||
Signed Inductor: ________________________________________ | Signed Inductor: ________________________________________ | ||
Date: ________________________________________ | Date: ________________________________________ |