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Home WHO AM I STAGE, RADIO & TV MILLER'S MOVIES JOKE BOOKS CHEEKY COLLAGE MAX MILLER APPRECIATION SOCIETY BRING BACK CHEEK STATUE MAX'S MUSEUM GALLERY SHOWTIME SHOP MEMBERSHIP LINKS
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APPLICATION FOR MEMBERSHIP
| Title |
First Name |
Surname
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| Address
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| Tel.
No. |
e-mail
address |
| Brief
details of your interest in Max
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Signed
Dated
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* Membership
rates for the year 1 February 2010 to 31 January 2011
Make a copy of this application
form*, complete and post together with a cheque for £..............* made
payable to The Max Miller Appreciation Society to
Jack
Strutt, 111 Brentwood Road, Brighton, BN1 7ET,
England
* Print in PDF format, click
here
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