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SUBSCRIPTION FORM
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To |
The
Treasurer, |
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First Name |
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Surname |
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No., Street Or PO Box |
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Suburb |
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Town/ City |
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Home Phone |
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Business Phone |
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Email Address |
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Current subscription is: |
$ |
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I would like to make a donation to support the continuation of the Wellington Gilbert and Sullivan Society Inc., of: |
$ |
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My
cheque is enclosed in the total amount of: |
$ |
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Date: |
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Signed: |
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