Branch: SOUTH WALES
Name:………………………………………………………………
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Date of Birth :……………………………………………………
EFC Customer Ref No:………………………………….
Signature:………………………….Dated:……………………
Membership Fees are for the season .
Adults £8 Seniors £4 Juniors £4 .
Please return to Mike Kempson 13,Vivian Road , Newport NP19 0ER .
Cheque or Bank Transfer Sort Code 07 01 16 Account Number 34443649.
PayPal m.kempson3@ntlworld.com family and friends.
