| First Name: |
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| Surname: |
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| Childs Name or Payment Reason: |
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| Email: |
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| Select Currency: |
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| Amount to be Paid (£): |
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| Club Location(for child members only): |
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| Club organiser Ref : |
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Your Billing Details
| First Name: |
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| Surname: |
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| Address Line 1: |
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| Address Line 2: |
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| Town / City: |
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| Country: |
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| Postcode: |
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| Contact No.: |
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