MAYFIELD DUPLICATE BRIDGE CLUB

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 1^st April 2008 to 31^st March 2009.

* 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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