Membership Application

Please provide your mailing address and personal details. Fields with an asterisk* are required.

 Existing Members: If you have had a membership with B.O.T.A. in the past, please use the register existing membership form or contact us to reinstate your membership.
Type
Name* (first, m, last)
Location
Address 1*
Apt/Unit
Address 2
Address 3
City*
Province/Region
OR State (AU Only) 
Postal Code
Country*
Phone Number
Date of Birth 
 (DD-MM-YYYY)
Gender




Existing Members:


Joining B.O.T.A.:
• B.O.T.A. Membership
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