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GG Derbyshire Face Mask
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Full Name
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Email Address
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Contact Telephone Number
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Address to post face mask
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Unit Name
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District/Area
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Total Number of Face Masks required - £5.00 each plus £1 P&P
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Number of masks with logo - Proud to volunteer (n/a if not applicable)
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Number of masks with logo - I Volunteer.... what's your superpower? (n/a if not applicable)
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Number of masks with logo - Proud to support (n/a if not applicable)
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Payment Option S/c 309908 a/c 22193760
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Cheque - The Guide Association Derbyshire - Send to Suite 3C, Unicorn Business Park, Wellington Street, Ripley, DE5 3EH
BACS - The Guide Association - Sort Code 30 99 08 A/c Number 22193760 (Quote Ref - Mask (your name)
Amount sent £ (£1.00 plus P&P)
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