Become a member of Wylderne Community Benefit Society

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First Name

Last Name

Address *

Address 1

Address 2

City

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Saturday 30th May

2 - 3 pm

3 - 4 pm

4 - 5 pm

Saturday 7th June

2 - 3 pm

3 - 4 pm

4 - 5 pm

Saturday 14th June

2 - 3pm

3 - 4 pm

4 - 5 pm

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I confirm I am over 16 years of age