Application Form

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Friends of Holtspur Bank Application Form.
£2.00 per Houshold.

I / We wish to apply for membership / renewal of the Friends of Holtspur Bank Group
Please find enclosed payment of £2.00

Name..................................................................

Address..............................................................

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

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

Post Code...........................................................

Telephone No.....................................................

E-Mail Address...........................................................................

Please complete and post to the Secretary / or deliver by hand to:

Mr. Ian Ridley
77, Heath Road
Holtspur
Beaconsfield
HP9 1DG