APPLICATION FOR MEMBERSHIP

Membership of the Association is open to all former pupils

Name  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Maiden Name   . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Address   . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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Tel. No.   . . . . . . . . . . . . . . . . . . . .
E-mail   . . . . . . . . . . . . . . . . . . . . . .

I/We attended LGS from 19 . . . to 19 . . . and joined the school in the . . . . Form (i.e. 1st, 2nd)
Subscriptions (£3 or £5 joint or £15/£25 for 5 yrs)  £ . . . . . . . TOTAL £ . . . . . . . .

Former pupils I am in contact with:-
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Please forward completed form and cheque payable to LGSA to

Denis Congdon, Hon Treasurer
50 Washington Close
Barcombe Park
PAIGNTON
Devon
TQ3 2QJ
Telephone: 01803 557407
e-mail denisandkay@sky.com