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October 26, 2014
Registration
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By completing this form, you give your permission to Aston Villa Football Club passing your personal information to the Lions Club you select below. If you do not wish the Club to pass your details on in this way, please do not complete this form.
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* This Field is required This Field IS visible on profile Information for: First Name : Please enter your real first name.
* This Field is required This Field IS visible on profile Information for: Last Name : Please enter your real last name.
* This Field is required This Field IS NOT visible on profile Information for: Email : Please enter a valid e-mail address. A confirmation email will be sent to this address upon registration.
* This Field is required This Field IS visible on profile Information for: Username : Please enter a valid username.  No spaces, at least 3 characters and contain 0-9,a-z,A-Z
* This Field is required This Field IS NOT visible on profile Information for: Password : Please enter a valid password.  No spaces, at least 6 characters and contain lower and upper-case letters, numbers and special signs
* This Field is required This Field IS NOT visible on profile Information for: Verify Password : Please enter a valid password.  No spaces, at least 6 characters and contain lower and upper-case letters, numbers and special signs
* This Field is required This Field IS visible on profile Information for: Address : Enter your street address here.<br type="_moz" />
* This Field is required This Field IS visible on profile Information for: Address 2 : Please enter the second line of address
* This Field is required This Field IS visible on profile Information for: Address 3 : Please enter the 3rd line of your address if required
* This Field is required This Field IS visible on profile Information for: Suburb or County : Please enter your suburb or county here.<br type="_moz" />
* This Field is required This Field IS visible on profile Information for: Post Code : Please enter your postcode here.<br type="_moz" />
* This Field is required This Field IS visible on profile Information for: Country : Please enter your country.<br type="_moz" />
* This Field is required This Field IS visible on profile Information for: Lions Club : <p>Please enter your Lions Club here.</p>
This Field IS visible on profile Information for: Club Interests : Please enter your club interests.<br type="_moz" />
This Field IS NOT visible on profile Information for: AVFC Emails : Please select box to receive email communication from AVFC for all latest news.<br type="_moz" />
This Field IS NOT visible on profile Information for: AVFC Post : Please select this option if you would prefer not to receive further communication from AVFC.<br type="_moz" />
 
 
* This Field is required Required field | This Field IS visible on profile Field visible on your profile | This Field IS NOT visible on profile Field not visible on profile | Information for: ? : Field description: Move mouse over icon Information: Point mouse to icon

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