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What is/are your preferred number(s)?
Name
Telephone Number
Email Address
By sending this form I confirm that I would like to join the 100 club for the 2011/12 season and will forward a cheque for £12 made payable to "Tunbridge Wells Hockey Club", pay by internet banking, or set up a standing order for this amount.
Method of payment	Cheque Standing Order

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100 Club membership form