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Basingstoke - Old Basing u3a Membership Application

From 1 September 2023 to 31 August 2024 - £38 per person

MEMBER 1 DETAILS

Title:

First Name:

Last Name:

Known Name:

Address:

Post Code:

Email Address:

Mobile No:

Phone No:

MEMBER 2 DETAILS (If applying for Join Membership please fill in this section)

Title:

First Name:

Last Name:

Known Name:

Address:

Post Code:

Email Address:

Mobile No:

Phone No:

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