ISAC 2010 SPL MEMBERSHIP FORM |
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PLEASE COMPLETE THIS FORM IN BLOCK CAPITALS |
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| Surname | > |
| 1st Name | > |
| Date of Birth | > |
| Place of Birth | > |
| Occupation | > |
YOUR FULL RESIDENTIAL ADDRESS |
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| House or Building Name | > |
| Number & Road Name | > |
| District | > |
| Postal City/Town | > |
| County | > |
| Post Code | > |
| STD & Telephone Number | > |
| Mobile Number | > |
| E-Mail Address | > |
| NFSA/Angling Trust Member | > |
YOUR SIGNATURE |
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| Signature > | Dated > |
YOU HAVE TO BE A SOUTHERN PREMIER LEAGUE MEMBER TO WIN OUR END OF SEASON AWARDS Annually @ £15 |
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Please use this form to join and make your cheque/PO payable to ISAC You can join at any match or send this membership form and payment to: ISAC, 67 Windmill Grove, Portchester, Fareham, Hampshire. PO16 9HU. Mobile: 07786-962540 |
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www.southernpremierleague.co.uk |
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