PRIDDY'S HARD, GOSPORT, HAMPSHIRE PO12 4LE

t: 023 9250 5600   f: 023 9250 5605   e: info@explosion.org.uk

 

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FREEPOST  (SCE13122)

GOSPORT, HAMPSHIRE

PO12 4LE

 

FRIENDS OF EXPLOSION!

APPLICATION FORM

 

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                                                                                        Signature……………………

Joint Membership: second name

 

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Membership Required (please tick a box)

 


Explosion! Volunteer FREE          (A Volunteer Application Form will follow)

 


Adult Single  £15                       Adult Joint  £28 

 

Family  £33              (up to 2 adults and all children at the same address)

 

 

Please return to the above address with payment of the required amount. Cheques should be payable to “Gosport Borough Council”.