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To join The Vet Club fill in this form, send it to us with your payment and we will either send your member number in an email or in the post.
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Name: _________________________________________________
Age: ____
Date of Birth: ___/___/19___
Address: ________________________________________________
Postcode: ____-_____
Telephone Number: (_____) __________
*Mobile Number: (______) __________
Email Address: _______________@___________._____
Your chosen VetName: ______________
Your chosen Password: __ __ __ __ __ (must be five digits)
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I am subscribing to g The Vet Mag g VetsAtWork for ___ years at 60p per year.
I am paying by CASH/CHEQUE (circle
one )
Your Signature:
_________________________________
Parents Signature:
________________________________
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Our address is: The Vet Club
23 Charnock Crescent
Gleadless
Sheffield
S12 3HB