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VOORNAAM
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VAN
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E-POS ADRES
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SELFOON-NOMMER
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JOU LIDMAATSKAP:
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Ek was 'n NG-lidmaat (ek het skriftelik bedank)
Ek is tans nog 'n NG-lidmaat
Nie een van bogenoemde nie
IN WATTER DORP / VOORSTAD IS (of was) JOU NG-GEMEENTE?
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WAT IS (of was) DIE NAAM VAN JOU NG-GEMEENTE?
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GEE ASB DIE NAAM VAN DIE RING WAARIN JOU GEMEENTE IS (was), AS JY WEET:
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