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 Preferred Contact Method (tick all that apply):

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 Membership Selection:

Ordinary Membership:

1)Aged 16 or over

2)Resident/Working in Plean or surrounding area

3)Registered to Vote

4)Supports the purpose of Plean's Voice.

Junior Membership:

1)Aged 12-15

2)Supports the purpose of Plean's Voice.

Ordinary MemberJunior Member

I CAN CONFIRM THAT I AM APPLYING FOR MEMBERSHIP OF PLEAN'S VOICE (SC052271) 
ACCORDING TO THE SELECTED MEMBERSHIP TYPE ABOVE AND WILL COMPLY WITH THE PLEAN'S VOICE (SCIO) CONSTITUTION.