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DARLINGTON CHRYSANTHEMUM AND DAHLIA SOCITY

APPLICATION FOR MEMBERSHIP

I wish to become a member of the Darlington Chrysanthemum and Dahlia Society, I should be obliged if you would put my name forward for election. I agree to support the society's fund raising efforts. I understand that the annual subsciptions are £5.00 and £2.00 for senior citizens, payable at the AGM and to be eligible to exibit at the societies shows must be paid by 1st September.

NAME

ADDRESS

TEL NO

SIGNED

PLEASE PRINT OFF AND SENT WITH PAYMENT TO:

SECRETARY

Mr Kelvin Vincent, 7 Heatherburn Court, Woodham Glen, Newton Aycliffe, Co Durham
DL5 4UY