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Written by phraa
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Thursday, 22 March 2007 |
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MEMBERSHIP APPLICATION FORM
PLEASE USE CAPITALSNAME _________________________________TELEPHONE______________FULL ADDRESS ___________________________________________________ ___________________________________________________ ___________________________________________________
INDIVIDUAL MEMBERSHIP FEE £10.00 PER HOME (ANNUAL RENEWAL) I ENCLOSE CHEQUE FOR £________ Signed_____________________________Date_____________ Personal details are for registration purposes only and are strictly confidential
================================================== BLOCK MEMBERSHIP OF RESIDENTS ASSOCIATIONS THROUGH AN ORGANISER £8.00 per home
I AM PREPARED TO ACT AS A ORGANISER AND ENCLOSE THE ANNUAL FEES FOR _______HOMES @ £8.00 per home £____________________ I ENCLOSE CHEQUE (S) TO THE VALUE OF £_______________
NAME_________________________________ TEL.NO. ____________________
FULL ADDRESS __________________________________________________ __________________________________________________ __________________________________________________ SIGNATURE ___________________________ DATE ______________________
PLEASE ENTER RESIDENTS NAMES & HOME NUMBER OVER LEAF Return membership application form and subscription to. Mr. Malcolm Samways. 3. Silver Poplars, Kingswood, Albrighton. Wolverhampton, South Stakks. WV7 3AP. Tel. 01902 374987. PLEASE MAKE CHEQUES PAYABLE TO PHRAA.
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Last Updated ( Thursday, 22 March 2007 )
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MEMBERSHIP FORM 
