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100 Club Application Form
Application to join the Bexhill & Battle Liberal Democrats 100 Club monthly Prize Draw
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I would like to join the Bexhill & Battle Liberal Democrats 100 Club and subscribe to the monthly Prize Draw and I confirm that I'm older than 16 years of age.
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Please select the quantity of Numbers that you wish to subscribe to at a cost of £5 each per monthly draw.
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1 x Number at £5
2 x Numbers at £10
3 x Numbers at £15
4 x Numbers at £20
5 x Numbers at £25
6 x Numbers at £30
7 x Numbers at £35
8 x Numbers at £40
9 x Numbers at £45
10 x Numbers at £50
I would like to be allocated the following number(s) or an equivalent if these are not available.
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