RENEWAL OF FULL MEMBERSHIP
This page last updated 05/04/2008
Both Postal & Residential Addresses in North Cyprus MUST be completed
| Surname Mr/Mrs/Miss/Ms | ____________________________________________________________ |
| Forenames | ____________________________________________________________ |
| Name of Husband/Wife/Partner | ____________________________________________________________ |
| Postal Address/PO Box in N. Cyprus | ____________________________________________________________ |
| Telephone Number | ____________________________________________________________ |
| FAX Number | ____________________________________________________________ |
| Mobile Number | ____________________________________________________________ |
| E-mail Address | ____________________________________________________________ |
| Residential Address in N. Cyprus | ____________________________________________________________ |
| Membership Card No | ____________________________________________________________ |
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Signature
Date ....
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