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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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