King's Lynn/Emmerich Twinning Club  

ENROLMENT FORM

Please complete in block capitals and return with your subscription to:

Mr Ernie Foreman, Elten House, Vicarage Lane, Gayton, KING'S LYNN  PE32 1PN

Crossed cheques or postal orders should be made payable to:

King's Lynn/Emmerich Twinning Club

  

Name: _______________________________________________
 
Name: _______________________________________________
 
Address:
________________________________________________
 
________________________________________________
 
________________________________________________
 
Telephone: ____________________________________________
E-mail address: _____________________________
I enclose a cheque/postal order for £ ____ being the membership fee (at £10.00 per person) for _____ persons over 16.

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