Membership Form

Name : Mr , Mrs , Miss , Ms...............................................................................................
Address : ........................................................................................................................
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...........................................................................Postcode :...........................................
Telephone Number :.................................................................................................
Mobile Phone Number :...........................................................................................
E mail :..............................................................................................................................
Existing/New Member (Please delete as necessary)




For Office use : Date Paid.......................................................................................................
Name of person taking subscription..............................................................
Signature....................................................................................................



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