APPLICATION FORM
Please print this form, write clearly in block capitals and post it together with the joining fee (£5 for individuals or £10 for families, charities or businesses; please make cheques payable to "Gipping Valley LETS") to :-
Brian Fearnley Tel: 01728 861007
14 Dove Close,
Debenham,
Suffolk
NAME _____________________________________________
ADDRESS __________________________________________
___________________________________________________
___________________________________________________
PHONE _________________________ MOBILE _________________________
E-MAIL ____________________________________________
I agree to the conditions of the Members Agreement and consent to my membership and account details being held on computer record. I also consent to the distribution of these details to Gipping Valley LETS members.
SIGNED ____________________________________________
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