Membership Renewal Form



To: Chris Pullan, 24 Keswick Road, Bookham, Surrey KT23 4BH

*Please find enclosed a cheque for £15/£30 in payment of my / our subscription to the Mayfield Duplicate Bridge Club for the year 1st April 2006 to 31st March 2007.

*I / We shall not be rejoining the Mayfield Duplicate Bridge Club

Name(s):      _________________________________    _________________________________

EBU No(s):     ____________      ____________

Email address:     _______________________      (for Committee use only)

Tel No & Address (if changed in the last 12 months):     ____________________________________________________________________________________________________________



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