Printable Membership Form:

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	NORTH CUMBRIA DYSLEXIA ASSOCIATION

	MEMBERSHIP FORM

	Subscription:

	Full: 		£10.00
	Unemployed, students,
	single parents: 	£5.00

  You will automatically receive 3 copies of our Contact Magazine and 
  our regular Newsletter plus many other benefits.

  Please complete and return to:

  Mrs Doreen Stephenson
  Carluel
  Wetheral
  CARLISLE
  Cumbria     
  CA4 9JG

  Name: ........................................................

  Address: ....................................................

  ...................................................................

  .......................... Post Code .......................

  Telephone ..................................................

  I enclose a cheque for £ ................

  Please make cheques payable to NCDA.