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Membership Application Form

Season:

Surname:

First Name:

Address:



Tel nos

Home:

Work:

Mobile:

E-mail:

Signature of applicant:

Category of membership (£7 Standard, £5 Student):

Fee paid:

Authorised/signed by Committee Member:

Other Details:



Print out & return to:

The Treasurer, Mr Peter Ostli-East, 35 Eastfield Avenue, BATH BA1 4HH

(cheques payable to The City of Bath Petanque Club)

City of Bath Petanque Club

City of Bath Petanque Club

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