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Thank you for completing this short application. It will take less than two minutes for you to complete and provide the information we need to enable you to become a member.

By completing the application you are giving your permission for our Secretary to contact you to finalise your application.

Membership is open to everyone.

Please visit our website for further information on membership fees, levels and benefits. www.lesettlerslegacyassociation.co.uk

Thank you for joining

Kind Regards

The LESLA Management Committee

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* 1. Name

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* 3. Phone Number

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* 4. How did you hear about us?

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* 5. Which activities are you interested in? (Select all that apply)

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* 6. Please share any special skills or experience that you would like to contribute?

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* 7. Would you be interested in taking a management committee role?

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