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Application Form
Please print out and return this form completed together with your subscription payment to: Dick Hill, Columbanus, Off Standen Street, Iden Green, TN17 4HR
Subscription Rate: Family £5.00 Single £3.00
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Address
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Postcode
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Telephone
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Email
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Other household members
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For Office use:
Membership Paid: ............................................................................................
Date Joined: ...........................................................................................
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