Promoter for 200 Club:  Mandy Parkes, Harrowbarrow Post Office 
Please fill in application form and drop it into the PO with cash or cheque.


 Website Application Form                     Membership Number to follow:

 
Name:

Address:

 
Telephone Number:

 
I certify that I wish to join the 200 Club and agree to the terms and conditions as stated.

 

Signed:                                                                                              Date:

 





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