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Membership Application Form |
| Surname | |
| Forenames | |
| Address | |
| Post Code | |
| Telephone | |
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LDWA Membership No |
| Please print and then complete the form clearly in BLOCK CAPITALS and send, together with the membership fee of £2.00, to the Membership Secretary: |
Reg
Chapman
63 Yockley Close CAMBERLEY Surrey GU15 1QQ |
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