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Membership Application / Renewal Form


Year 2004/2005

Sara Badge
Sara Badge

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