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NORWICH CITY HOCKEY CLUB MEMBERSHIP FORM 2004/2005 TITLE: Mr / Mrs / Miss / Dr / Prof SURNAME: CHRISTIAN NAMES: ADDRESS: POSTCODE: TELEPHONE NO: HOME BUS. MOBILE E-MAIL ADDRESS: DATE OF birthplace
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By donating equipment, facilities, etc.? B.C. CLUBS Name of club MANAGEMENT TO BOROUGH OF THE RICHES Name of club BRIEFCASE MEMBER SIGN UP FORM Name of club MANAGEMENT ADDRESS 1 B.C. 6 E-MAIL ADDRESS: Address of club: 3rd floor Zealand Towers The name of the club will change from “B.C. Clue Club” to “The Gold Club” to reflect the current B.C. government ownership of the Gold corp mine. The Gold Club will retain its current number of members and will continue to operate under the same procedures as the B.C. Clue Club. Signed: B.C. Clubs' Association Council Downtown Hotel 1245 – 1330 Pacific Avenue Burnaby, BC, V5Y 2N5 Vancouver, BC, Canada NAME OF CLUB MANAGEMENT ADDRESS Name of club MANAGEMENT TO BOROUGH OF THE RICHES Name of club BRIEFCASE MEMBER SIGN UP FORM Name of club MANAGEMENT ADDRESS 1 B.C. 6 E-MAIL ADDRESS: Address of club: 3rd floor Zealand Towers The name of the club will change from “B.C. Clue Club” to “The Gold Club” to reflect the current B.C. government ownership of the Gold corp mine. The Gold Club will retain its current number of members and will continue to operate under the same procedures as the B.C. Clue Club. Signed: B.C.

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