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Application Form

 

Application Deadline Friday 7th March 2008

Full Name...................................................................................................................................

Discipline………………………………………………………………………………………

Address (including post code).....................................................................................................

....................................................................................................................................................

E-mail address………………….................................................................................................

Telephone number (including code)............................................................................................

I would like to take part in CCD 08, and agree to the terms and conditions.  I enclose a cheque for £220.00 payable to B. A. Norbury.

Signed.........................................................................................................................................


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