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If you would like more information please contact Dr Pulham, or send a copy of the application form below.

Dr. R. Pulham, 28 The Drive, Reydon, Suffolk, IP18 6PP

Current Annual Subscription

Individual £3.00 (Cheques payable to Lowestoft

Family/Group £5.00..........& Plaisir Twinning Association)

MEMBERSHIP APPLICATION FORM

Name …………………………………………… (Please print)

Address ………………………….………………………….

Post Code……………….. Telephone……………………

Type of Subscription: Individual/Family/Club/School

Enclosed subscription fee £…..… Signed ………………………