Associate Member Form

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Honorary Secretary
& Treasurer

Terry Gill
5 Sherring Close
Bracknell
Berks
RG42 2LD
United Kingdom

Tel: 01344 640573
Fax: 01344 640207

Email: terrytegill@aol.com

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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 £8.30 - £10.00 for an overseas membership - payable to
"No 249 Squadron Association") to:

Terry Gill
Hon. Secretary and Treasurer
No. 249 (Gold Coast) Squadron Association
5 Sherring Close
Bracknell
Berks RG42 2LD

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