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Please click on your browser's "File" - "Print" to print this form and then post along with your remittance to:

The Membership Secretary
The Chesterfield Canal Trust Ltd
c/o 47 Whitecotes Park
Walton
Chesterfield
Derbyshire S40 3RT
United Kingdom
Cheques must be in GBP and made payable to the Chesterfield Canal Trust Ltd

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