postal

CLUB APHRODITE POSTAL APPLICATION FORM

Please print, complete and post to Club Aphrodite PO Box 5296 Blandford Forum DT11 9XZ and enclose cheque (payable to Club Aphrodite), postal orders, or registered cash

Please select membership status and enclose fee from the follow options:

Title (e.g. Mr Ms Dr Cpl etc)

Forename(s) Surname Address line 1 (house no/name & street Address line 2 (village / postal town) Address line 3 (postal town / city) Address line 4(county) Postal Code Email: Tel. No: Partners Name(If joining as couple)

Your Contact Ad:

Write up to 28 words describing yourself and the people you would like to meet