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Mr/Ms/Miss/Mrs First name Surname
Address Post Code
Telephone number Email: Date of birth
Membership type (please tick box)
Adult Fee £3.00 [ ] Student Fee £1.00 [ ] Unemployed Fee £1.00 [ ] Senior Citizen Fee £1.00 [ ] Junior Fee (age 15-17 inclusive) £1.00 [ ] Child Fee £1.00 [ ]
Please tick if you do not want your details to be held on computer [ ]
When completed please send to Membership Secretary, Corrin Reeves, 56b Kings Avenue, Watford WD18 7SA
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