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Application Form

Delegate:1)............................................................Fool/Beast/Other.......................

Delegate 2)...........................................................Fool/Beast/Other........................

Team: ................................................................

Address for correspondence:.....................................................................………

.......................................................................................................................……

……………………………………………………………………………………………

Tel: Day:...........................…..Eve:....................................

e-mail................…………………

Any Special Dietary needs………………………………………………………………

We anticipate having ......………….... further applicants, if places available.

Return this form with cheque for the full amount (£60 pp) payable to "The Illustrious Order of Fools and Beasts" to

Robert Chisman,
Fools and Beasts Convener,
Robert's Pharmacy,
The Coombes,
Polperro,
Cornwall,
PL13 2RG,

Tel: 01503 272250 (day)
01503 272437 (eve);

E-mail:  triggertrotter1@aol.com 

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