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I/We wish to apply for membership of the Winterbourne Community Association and enclose the appropriate fee |
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Forename Surname
(1)
(2)
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Address (including postcode)
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Telephone number (optional)
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Enrolled by :
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Section(s), if applicable
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Amount enclosed £___________
Cheque made payable to WADCA or cash ?
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Do you object to the Association holding this information on a computer ?
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Have you received your membership card(s) ?
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