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Socialist Civil Liberties Association
APPLICATION FORM My name is (full).......................................... ................................................................... Address ...................................................... ................................................................... ................................................................... Contacts (tel) (fax) (mobile) (E-mail) .................................................................................................................................... Constituency LP ............................ ............ Party Membership No ................................................................. Having considered the SoCLA Constitution, Signed ...................................................... |
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APPLICATION FORM I make this Application on behalf of - Name........................................................... Address of Organisation............................... ................................................................... .................................................................. Our Representative has been nominated > Name.......................................................... Address ...................................................... ................................................................... ................................................................... Contacts (tel) (fax) (mobile) (E-mail) .................................................................. Constituency LP ............................ ............ Party Membership No ................................................................. The above organisation hereby APPLIES
for Affiliation
I enclose/will send Signed ......................................................
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This is a pioneering Web-to-print intitiative from SoCLA |
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