Membership Form
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Association of International Branches Official Hereford Branch
MEMBERSHIP INFORMATION Name
Mr/Mrs/Ms/Miss/Under 16 (delete were appropriate)
Address
Post Code
Telephone
Mobile
Fan Card Number
Branch Membership Number
Email Address
(For official use only)
Subscription paid
Main Committee. Chairman - Mike Preece. Secretary - Kev Tong. Ticket Manager - Nathan Rivers. Treasurer - Roy Lugg Sub Committee. Mark Bevan. Derren Hotchkiss. Paul Benjamin. Jed Duffield. Web site www.lfc-hereford.co.uk Forum www.lfc-hereford/lfcforum/index.php
MEMBERSHIP INFORMATION Name
Mr/Mrs/Ms/Miss/Under 16 (delete were appropriate)
Address
Post Code
Telephone
Mobile
Fan Card Number
Branch Membership Number
Email Address
(For official use only)
Subscription paid
Main Committee. Chairman - Mike Preece. Secretary - Kev Tong. Ticket Manager - Nathan Rivers. Treasurer - Roy Lugg Sub Committee. Mark Bevan. Derren Hotchkiss. Paul Benjamin. Jed Duffield. Web site www.lfc-hereford.co.uk Forum www.lfc-hereford/lfcforum/index.php
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