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| Postal
Renewal Form
I wish to renew my Gold membership of the Hughes Syndrome Foundation | |
Name |
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Address |
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Postcode |
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Telephone
number |
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Email |
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I enclose
my cheque for |
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| Annual rates -
UK Membership £33, Non-UK Membership £38 |
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Payable to: |
The Hughes Syndrome Foundation |
Signature |
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Date |
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Please send your form and cheque to: | |
| The Hughes Syndrome Foundation Louise Coote Lupus Unit Gassiot House St Thomas Hospital London SE1 7EH |
Many thanks! |