12 Adult Membership Form doc
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Date: 2011-11-22
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NORTH COUNTRY REGION VOLLEYBALL - 2011-2012 INDIVIDUAL MEMBERSHIP FORM This application, the USAV Code of Conduct and Waiver and Release of Liability.
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www. abingdonamblers. co. uk Club membership form Adults – New To ensure that we have the correct and up to date contact details for you, can you please insert the information.
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ADULTS: JUNIORS: Under 18 years at April 1, 2008 M/F ____Age:_____ M/F ____Age:_____ M/F ____Age:_____ Town/Postal M/F ____Age:_____ PLEASE PROVIDE YOUR PHONE EMAIL.
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Return To: Linda Rice, Membership Thegn, 637 South Milit ary HWY, Virginia Beach, VA USA 23464 or vmaa2 cox. net or your local group leader.
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Cumann Lúthchleas Gael An Caisleán Glás Cumann Naom h Padraig Full Membership Application Form ____________ ______________ _____________ Phone:.
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! ,-. /0 ,- ! - 1 - - 23 4! 5/ /6 ! - 4 3 3! , - 3 4 , /7 8/ 5 9 8/55 9 4 Notes: 1. If you suffer from a medical condition and/or are receiving medication please complete the Members MedicalForm2. 2. Medical Form is available.
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The Cricket Common, Brentwood Road A128 , Herongate, Brentwood, Essex Tel: 01277 811004 Web: www. co. uk Herongate Ingrave CricketClub Adult.
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