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BCGBA FORMS |
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BCGBA FORMS |
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B.C.G.B.A. - INSURANCE F0RM - 1ST MAY 2011 |
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Club . |
Affiliated to ... . |
No. of P/Acc @90p .. |
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Venue |
Insurance Contact at Club. |
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£2m P.L. at £38.. ... .. |
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£5m P.L. at £45 .. .. |
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Telephone |
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Total amount forwarded |
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Details below should ONLY be completed to record the details of your members requiring Personal Accident |
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Insurance. There is no requirement to list your members solely in respect of Public Liability Insurance. |
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If you require your P.L. Policy to include Child Abuse Cover please contact R. Holt for full details. |
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Please return this form with cheque payable to Derbyshire.C.G.B.A. |
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To Mr. Dave Drury, 14 Fernilee Close, New Mills, High Peak, Derbyshire, SK22 4DZ. |
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Telephone No. 01663 746038. email ;- dave@drury8818.freeserve.co.uk. |
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THIS SHOULD BE PAID BY THE END OF JUNE OTHERWISE A FINE OR SUSPENSION MAY BE IMPOSED. |
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Surname and Initials |
BCGBA NO |
M |
F |
J |
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Surname and Initials |
BCGBA NO |
M |
F |
J |
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1 |
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28 |
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2 |
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29 |
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3 |
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30 |
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4 |
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31 |
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5 |
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32 |
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6 |
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33 |
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7 |
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34 |
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8 |
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35 |
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9 |
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36 |
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19 |
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37 |
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11 |
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38 |
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12 |
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39 |
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13 |
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40 |
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14 |
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41 |
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15 |
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42 |
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16 |
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43 |
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17 |
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44 |
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18 |
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45 |
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19 |
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46 |
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20 |
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47 |
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21 |
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48 |
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22 |
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49 |
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23 |
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50 |
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24 |
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51 |
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25 |
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52 |
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26 |
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53 |
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27 |
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54 |
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BCGBA REFERENCE |
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M = Male. F = Female and J = Junior. |
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Club : |
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Members Name |
BCGBA. No. |
Members Name |
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Issue 1. |
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British Crown Green Bowling AssociationCLUB DETAILS for 2011 |
Form NR1 |
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British Crown Green Bowling AssociationREGISTERED MEMBERS for 2011 |
Form NR1A |