Cotswold Hospital Radio Online Application
Our membership services will reopen after Christmas 2018
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Email address
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Title
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Name
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Address
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Telephone (Home)
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Telephone (Mobile)
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Occupation
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Date of Birth
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Age
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How did you hear about Cotswold Hospital Radio?
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Do you have any connection with any other members of Cotswold Hospital Radio?
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Why do you wish to join Cotswold Hospital Radio?
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