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I apply to join the Liberal Democrats, Chester Local Party or renew membership
(please delete what does not apply)

Name: Mr./Mrs./Ms. ....................................................

Address:

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Tel. no. ..............................................................................

E-mail.................................................................................

Amount subscribed £...........................................................

The annual subscription is £10 (minimum), £48 (recommended);
Concessionary memberships at £6.00 are available for students, people under 26, or people who claim or are entitled to claim state benefits.

Signature.............................................................................

Date......................................................................................

Please make cheques payable to "Liberal Democrats" and post to
Mrs. Annie Mead, Membership Secretary,
16, Kilmorey Park Avenue, Hoole, Chester, CH2 3QU
Tel: 01244 342808
e-mail: anniemead@kilmorey.freeserve.co.uk

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Any contributions you would like to make to the Chester Constituency
Local Party would be welcomed as cheques payable to:
"Chester Liberal Democrats"