THE CILLA BLACK APPRECIATION SOCIETY |
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--------------------------------------------------------------------------------------------------------------------- THE CILLA BLACK APPRECIATION SOCIETY I wish to apply for membership to "THE CILLA BLACK APPRECIATION SOCIETY". I enclose a Cheque/Postal Order for £7.00 for the annual membership fee, PLUS four Stamped Addressed Envelopes (size must be no smaller than 9"x 6" please) NAME:........................................................................................................................................................................... ADDRESS:................................................................................................................................................................... SIGNED:.........................................................................
DATE:................................................................................
DATE RECEIVED:......................................... MEMBERSHIP NO:....................................................................... PAYMENT METHOD: ............................................................................................................................................. |