Associate Member Form

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Honorary Secretary
& Treasurer

Tommy Cullen
tcullen@tinyworld.co.uk

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Please complete, as applicable, using BLOCK CAPITALS in Black Ink

Title Name & post-nominals:
Known as:
Spouse's Name:
Address:
Post Code:
Telephone No:
Fax No:
E-mail address:
Any Additional Information:
Signature & Date:

When completed, please return (with a cheque for £18.00 - £20.00 for an overseas membership - payable to "No 249 Squadron Association". Note: the subscription includes the cost of a Squadron tie) to:

Tommy Cullen
Hon. Secretary and Treasurer
No. 249 (Gold Coast) Squadron Association
12 Bywell Avenue
South Shields
Tyne and Wear NE34 6RP

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