Application Form

Please print this page, fill in the application form and send it with your cheque and SAE to

 
       Mrs Marie Simmonds
       Gable Lodge

       Honiton Road
       Staplehay
       Taunton
       TA3 7HF


Name(s)………

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Address…..………………………………………........................................…..…………….
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Postcode………......................................…………....….…....................................................
Telephone..................................................................................................................................

email...........................................................................................................................................

Please enclose a cheque for £35 ( first year's subscription of £30 and an initial entry fee of £5) made payable to West Somerset DFAS.
Also a stamped self-addressed envelope at least 8 x 4 inches for your membership documents.