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COPIES FOR YOUR COUNCILLORS SUBSCRIPTION ORDER FORM Please mail DIRECT to the Councillors named below an individual copy of Clerks & Councils Direct for 12 months at a rate of  £12.00 per annum, per subscriber Name……………………………… Address…………………………… ……………………………………… ……………………………………… County……………………………. Post Code………………………… Name……………………………… Address…………………………… ……………………………………… ……………………………………… County……………………………. Post Code………………………… Name……………………………… Address…………………………… ……………………………………… ……………………………………… County……………………………. Post Code………………………… Name……………………………… Address…………………………… ……………………………………… ……………………………………… County……………………………. Post Code………………………… Name……………………………… Address…………………………… ……………………………………… ……………………………………… County……………………………. Post Code………………………… Name……………………………… Address…………………………… ……………………………………… ……………………………………… County……………………………. Post Code………………………… Name……………………………… Address…………………………… ……………………………………… ……………………………………… County……………………………. Post Code………………………… Name……………………………… Address…………………………… ……………………………………… ……………………………………… County……………………………. Post Code………………………… Name……………………………… Address…………………………… ……………………………………… ……………………………………… County……………………………. Post Code………………………… Name……………………………… Address…………………………… ……………………………………… ……………………………………… County……………………………. Post Code………………………… Name……………………………… Address…………………………… ……………………………………… ……………………………………… County……………………………. Post Code………………………… Name……………………………… Address…………………………… ……………………………………… ……………………………………… County……………………………. Post Code………………………… Name of Council: ……………………………………………………………..… Clerk …………………………………………………………………………......... Address ……………………………….………………………………………….. …………………….……………………………………………………………….. ………………………..……....…. Post Code ….………..………………...... Tel ………………..…….…....… Email ……………………………………. Total copies required @ £12.00 per subscriber, per annum …………………… Amount due £……………………You will be issued with a receipted invoice. PAYMENT: By cheque payable to CommuniCorp By BACS: contact us for bank details Please post with cheque or remittance advice to: Subscription Department, CommuniCorp, Banklands, Ferry Lane, Wraysbury, Staines TW19 6HG. TEL: 01784-483281. EMAIL: ClerksCouncils@btinternet.com

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