West Lothian 50+ Network Application Form
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Name
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Address
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Telephone
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Date of Birth
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Interests/Hobbies/Skills you may share with others
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Membership Fee: £14.50 per calendar year Please make cheque payable to: West Lothian 50+ Network 48 G Linbar House, North Bridge Street Bathgate, West Lothian EH48 4PP |
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Date of Joining
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