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(Please enter your familiar name, if different from given name. Example: "Peggy" instead of "Margaret".)

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Last Name (required)

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Phone Primary (required)

(Please format as: (302) 123-4567.)

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Phone Secondary

(Please format as: (302) 123-4567 ...optional.)

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Address City (required)

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Address State (required)

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Address Zipcode (required)

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Interest Categories (required)

(Please choose one or more. Upon initial registration, these choices will automatically subscribe you to corresponding club groups and forum lists. Subsequent changes must be made manually.)

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Interest Activities (required)

(Please choose one or more.)

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How did you first hear about the Wilmington Trail Club?

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