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Do something positive this year! Become a member of the Southwark LGBT Network. |
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Fill in the sections below, print out and send back with your cheque. |
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Date |
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Name |
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Address
Post Code |
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Yes I am sending you £1 for a yearly membership
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Yes I am also sending you a donation of.................. (state donation amount) |
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make all cheques payable to Southwark LGBT Network CIDU, East House, Town Hall, 35 Peckham Rd, London SE5 8UB |