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\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\b\fs32\insrsid12065553 APPLICATION FORM
\par 
\par }{\insrsid12065553 I wish to register a youth/school/community group for membership of the Wildlife Clubs of Ghana.
\par 
\par Name of Club........................................................................................................................
\par 
\par Name of Leader responsible..................................................................................................
\par 
\par Occupation of Leader............................................................................................................
\par 
\par Address of Club.....................................................................................................................
\par 
\par \tab \tab   .....................................................................................................................
\par 
\par 
\par }{\insrsid12065553 I enclose}{\insrsid12065553  a list of club members, officials, committee me}{\insrsid12065553 mbers with their dates of birth;}{\insrsid12065553 
\par }{\insrsid12065553 A}{\insrsid12065553  cheque/postal/money order to cover annual subscription fee of \'a2200.00 and \'a2500.00 per member for first and second cycle schools respectively, and club registration fee of \'a21000.00.
\par 
\par Please send the completed form with your cheque/postal/money order to:
\par }{\b\insrsid12065553 
\par The Executive Director
\par Ghana Wildlife Society
\par P.O. Box 13252
\par Accra}{\b\insrsid12065553 .}{\insrsid12065553 
\par }{\f1\fs20\insrsid12065553 
\par }}