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| The Dawn Riders Western Club |
| MEMBERSHIP APPLICATION FORM 2005 |
| NAME........................................................................................................................... |
| WESTERN NAME (if applicable)...................................................................................... |
| ADDRESS...................................................................................................................... |
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| ...................................................................................................................................... |
| ...................................................................................................................................... |
| POSTCODE..................................................TELEPHONE.............................................. |
| MOBILE.................................................. E-MAIL ADDRESS........................................................................................ |
| SIGNED..................................................DATE............................................. |
| Membership Subscription Fee is only £1.00 Please hand this form to Barbara or send by post to the address on the Contacts page |
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