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--------------------------------------------------------------------------------------------------------------------- THE CILLA BLACK APPRECIATION
SOCIETY I wish to apply for membership to "THE CILLA BLACK APPRECIATION SOCIETY". I enclose payment in the sum of £11.00 (£ Sterling) for the annual membership fee. NAME:........................................................................................................................................................................... ADDRESS:................................................................................................................................................................... SIGNED:.........................................................................
DATE:................................................................................
DATE RECEIVED:......................................... MEMBERSHIP NO:....................................................................... PAYMENT METHOD: ............................................................................................................................................. |