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CAPITAL DARK BLUES

MEMBERSHIP INFORMATION


MEMBERSHIP FEES £10/£5 (concession) per annum


EXISTING MEMBER:-------------------------------- YES/NO

MEMBERSHIP PAID:-------------------------------- YES/NO

NAME:
ADDRESS:



PHONE NUMBER: (H)_____________________(W)
E-MAIL ADDRESS (H)_____________________(W)
STUDENT/OAP------------------------------------- YES/NO

NOTE:- Cheques should be made payable to Capital Dark Blues and sent to Neil Wallace at 37 Ellens Glen Road, Liberton Flat Edinburgh EH17 7QJ

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