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© David Arnott
1997-2009
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Translation
Disclaimer
|
Member
One
Title:
Forename:
Surname
Member Two
Title:
Forename:
Surname
Full Contact Details
Street:
Town/City:
County:
Post Code:
Telephone (inc. STD):
e-mail:
| Family
Membership Scheme
(Min. Donation) |
£12.00 |
I enclose a cheque/postal order for £_____
(payable to "Vale Mill Trust")
Signed ______________ Date ____________
If you currently
pay income tax, please remember to complete and sign the
and post together with your application and cheque.
Thank you.
Please print,
complete and post your form to:
|
Membership
Secretary
Path Head Water Mill
Summerhill
Blaydon
Tyne & Wear
NE21 4SP |
If you do not
have a printer, please just note the above details on a piece of paper
and return to the same address enclosing your cheque or postal order.
|
