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Please complete in BLOCK CAPITALS 2025 Renewal Full Name 1___ Email Address 1___ Mobile number 1___ Full Name 2 ___ Email Address 2___ Mobile number 2___ Address ___ ___ ___ Post Code ___ Landline ___ Please tick box|__| Individual 30.00 |__| Couples 50.00 Must reside at the same address |__| Students 15.00 18 or over and in full time education For Office Use only Date received ___ Cash/ Cheque/BACS___ Initals___ 2025 Membership number 1 ___ 2025 Membership number 2 ___

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