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Change of Details
..
Please take the time to fill out and send the following form should any of
contact details change or if you are intending to leave Indonesia.
This will assist us in keeping in contact and sending newsletters or flyers
to people who are no longer here. It is only necessary to fill in your name
and details which have changed.
Member 1 Name:  (Surname in Capitals)
Member 2 Name:  (Surname in Capitals)
Residential Address:
Postcode:
Home Tel:
Home Fax:
E-mail:
Company Address:
Postcode:
Work Tel:
Work Fax:
E-mail:
Departing: (Departure Date if Leaving)
Mail Newsletter To:

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