Monday 12 May 2008
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Please fill in the form below to become a member of Stroke Action London. Once the form is filled simply print and post and send with a cheque payable to Stroke Action London. We will confirm reciept of your cheque in writing within 7 days of it reaching us. Please send all applications to: Stroke Action London, Room 9, Edmonton Green Porto Cabin, Knights Lane, Edmonton, London, N9 OPD
 
Full Membership Associate Membership
 

Title:

 
First Name:

Last Name:

Email:
 
Telephone:
 
Address:

  Cheque Enclosed:       Cheque Not Enclosed:
   

Print and post. Phone us during office hours or email us at 020 656 4546
enquires@strokeactionlondon.org.uk for membership enquires
 
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Charity Number:1087190 Copyright 2001 Stroke Action London

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