Labels:chat room | crt screen | planking | sky | windowpane OCR: Mem bership Application Australla Worltwlde texcludIng residents of New Zealand] The Qantas Club f To oi: qantas .tom +61 9698 (E 2110 T Tr e Qantns Cl.b Service cer eAustrn wor dwide (+61 I 3) 8G96 2160 Please complete this form using BLACK INI and print well within the boxes in clear CAPIT LETTERS Start at the left of each answer space pue leave auo box sp ace between wards Mark appropriate boxes With a cross (X). Personal I detalls ArH vrXJ Qanla Frenueu FIVHI *:..: *... TiLx MANDATORY MANDATORY Mi|X] C Dalalbirl DDMM (NWNDATORY) Given An per jassjorl Milleinln IMAND ATORYI Surnane ASner passport Address detalls MINIMUMO ADDRESSIS MANDATORYI HUDH ":all 'e.. Juil eEuili St JUC- ut.roor tt/- cvInc Co.y ostEla ccc Wrark wcu/ cd... Postc7oL j.E "e"I/..ilf Fuilliu 5uL.1OI Contact t details M ...
