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Gatekeeper Membership Application Form If you
wish to become a Member of Gatekeeper please complete and print off
this form. Please enclose your subscription of £25.00 for individual
membership or £35.00 for couples living at the same address, The
Secretary, Gatekeeper Trust, 7 The Chapel, The Plains, Totnes. TQ9 5DW All payments to be made in £ Sterling and
either: Subscription
and donations may be made by Bankers
Order
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I wish to be a member of Gatekeeper for 2010 and enclose my Cheque or Bankers Order Form In addition I wish to be a Benefactor of
Gatekeeper Trust and enclose a donation of Total Amount Enclosed Please tick box if you object to other Gatekeeper members being given your details Please tick box if you object to other organisations being given your details
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