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HARTHILL SCHOOLS’ ASSOCIATION MEMBERSHIP FORM If you wish to subscribe for five years to Harthill Schools’ Association please fill in your details below:

Full Name: __________________________________________________________ Maiden Name (if applicable): ____________________________________________

Address: ___________________________________________________________ ___________________________________________________________________ Tel No: _____________________________________________________________

E-mail Address: ______________________________________________________

School: Calder High / Quarry High / Comprehensive (please delete)

Dates of attendance: __________________________

I enclose £10 (cash/cheque*) for my membership for five years to Harthill Schools’ Association. Signed: _____________________________

Date: _________________________

* Please make cheques payable to ‘Harthill Schools’ Association’.

When complete please return to: Louise Strachan Calderstones School Harthill Road Liverpool L18 3HS