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CHADDERTON HISTORICAL SOCIETY EDUCATION REQUEST FORM
Address ..................................................................................................... Tel. No. ...................................................................................................
Email Address .........................................................................................
Contact Person ........................................................................................
Class/Age Group ....................................,.................................................
Number in Group ......................................................................................
Which Aspect(s) of Local History are you interested in? ...............................
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Date Preferred ................... day ..................................................................
Alternative Date ............................................................................................
Session/Time .................................................................................................
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Method of Payment ........................................................................................
Where did you hear about our educational provision? ......................................
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Last updated, 8/05/2010 Copyrite Chadderton Historical Society 2010