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The National Begonia Society
Enrolment Form
Please enrol me as a member of The National Begonia
Society.
I agree to abide by the rules of the Society.
I enclose PO/cheque/cash for £15.00
Please make
PO/cheque payable to The National Begonia Society
(CAPITAL LETTERS PLEASE)
Forenames:...............................................................................
Surname:...................................................................................
Address:............................................................................................................
...................................................................................................................
........................................................................................................
................................................................................................
Post Code:.............................................................
Country:..................................................................
Phone Number:......................................................
E-Mail:....................................................................
.
Signature:..............................................................
Date:................/.................../................
Please return completed form and PO/cheque to Membership Secretary,
John Taylor, 20, Westbourne Park, Bourne,
Lincolnshire PE10 9QS Tel: 01778 218599
.