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First name

Surname

Accompanying person

Yes No

E-mail

Contact number

Special dietary requirements – add

I will be attending

Saturday and Sunday £25.95 for the member and £10.00 or

Sunday Only The cost for this is £40.95 for the member and
25.00 for the partner, this is to be paid directly to the association and once again

I agree to pay the RLI Regimental association pounds prior to attending the event

I will pay by

direct deposit
cheque
credit card

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**Sum of 5 + 7 ? ** IMPORTANT