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Membership Application / Renewal Form
Year 2004/2005
To
Mrs. Caroline Fitzgerald,
Hon. Treasurer. SARA,
The Bungalow,
Burrough Road,
Dublin 18.
I / We the undersigned wish to apply for Membership / Renewal of Membership of Stepaside Area Residents Association and hereby agree to abide by the Rules and Bye-laws of the Association.
Membership 2004/2005 € 20.00 per household.
Mr. / Mrs.
Surname
C/name
Address1
Address2
Address3
Address4
Tel:
Fax:
e-Mail:
I offer the following talents which may be of use to SARA
Signature
Date