NORTHERN
AND EASTERN COUNTIES PAPILLON CLUB
| NAME |
|
| ADDRESS |
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|
| POSTCODE |
|
| TEL |
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| AFFIX |
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| PROPOSER |
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| SECONDER |
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| DATE |
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| Fees |
JOINT |
SINGLE |
JUNIOR |
Free Club Badge with
every membership
|
| £6.00 |
£4.00 |
£1.00 |
Please return to
The Hon. Secretary: |
Mr John A Edson
The Butterflies, 18 Mill lane, Ryther,
Tadcaster, North Yorkshire, LS24 9EG |
….Please complete name and address below for your receipt
(do not detach)….
| Received the sum of |
|
from : |
|