2009/10 SEASON
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All Communications to:
Gillian Lynch |
VAT No: 522 5082 75
Please make Cheques payable to:
WKSS
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Surname:
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Full Address:
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Post Code:
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First Names:
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Nationality :
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Date of Birth:
Occupation:
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Mobile No:
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Home Tel:
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Email:
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(tick where appropriate)
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Please find enclosed my cheque in the sum of £10.00 |
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I will call with my credit card details |
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Certificate No:
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CPSA/BASC No:
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Issued by:
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Expiry Date:
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I confirm that the above details to be true and accurate.
I agree to be bound by the Rules of the Club.
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Date:
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Signature:
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Membership Number Allocated:
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Secretary:
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Date:
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