HSA Individuals and Family Membership - Hotham Ski Association

The HSA Individuals and Family Membership allows you to add up to 5 family members after signing up.

Terms:

$40 / Year

First Name:* First Name Required

Last Name:* Last Name Required

Address Line 1:* Address Line 1 is Required

Address Line 2: Address Line 2 is not valid

City:* City is Required

Country:* Country is Required

State/Province:* State/Province is Required

Zip/Postal Code:* Zip/Postal Code is Required

Position:* Position is Required

Organisation Name:* Organisation Name is Required

Mobile Number:* Mobile Number is Required

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Trade Service Neither

Username:* Invalid Username

Email:* Invalid Email

Password:* Invalid Password

Password Confirmation:* Password Confirmation Doesn't Match

Password Strength Password must be "Medium" or stronger

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Terms: $40 / Year

Description	Amount
HSA Individuals and Family Membership – Initial Payment	$40.00
Total	$40.00

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