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2019 MEMBERSHIP APPLICATION Name: Phone: Address: Email: Date of Birth: (optional) POSTAL CODES, I would like to apply for membership in the Northumberland Hills Cycling Club! TOTAL DUE×40 (BEFORE
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It is a copy of the regular rate for the year 2019 in the member application form.
All members who are applying for membership in 2019 are required to fill out and submit this copy.
The member must enter their regular rate for the year 2019 in the designated section of the application form.
The purpose is to provide information on the regular rate of the member for the year 2019.
The member's regular rate for the year 2019 must be reported on this copy.
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