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HEMPSTEAD HOUSE LONDON ROAD CHILD SITTINGBOURNE KENT ME9 9PP TEL: 01795 428020 Faxes: 01795 436362 www.hempsteadhouse.co.uk info@hempsteadhouse.co.ukAdditional Members Application Form NAME OF PRINCIPAL MEMBERDATEMSHIP NUMBERADDITIONAL MEMBER ADDRESSPOSTCODE MALE/FEMALEHOME

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