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Membership Request



User Name:	Tip: Username must be between 2 and 20 characters.
Password:	Tip: Password must be at least 6 characters and contain at least 1 uppercase letter and 1 number.
Confirm Password:

First Name:
Last Name:
Email:	Tip: A valid email is required to validate your member login account.
Confirm Email:
Telephone:	Tip: Enter the ten digit number (including area code) with no spaces. Mobile numbers must start with 0.
Member Type:	Tip: General member access is the basic level of access to the site. Provides access to most site features. To access specific Congregation, Presbytery and Minister resources please tick the relevant box and complete any required information to validate that access level. General Access
	Minister in Placement (or retired Minister) or Chaplain Placement:
	Congregation or Presbytery Office Bearer Congregation: Are you a Presbytery Office Bearer? Presbytery: Tip: Only select if you answered "Yes" above.
	Synod Staff Member Tip: Tick if you are a Synod Employee.
	Enter the characters shown in the picture above for validation. The picture contains 6 characters.
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