APPLICATION FORM.

Independent
King's Regiment Association.

NAME……………………………………………………….

ADDRESS……………………...............................................
……………………………………………………………….
……………………………………………………………….
……………………………………………………………….
POST CODE………………………………...........................

NICK NAME………………………………………………..

SERVICE NO (Optional)…………………………………....

RANK (Optional)………………...........................................

REGIMENT OR CORPS……………………………………

WHEN SERVED. ______to_______

PHONE NUMBERS.

HOME………………………………………….
MOBILE………………………………………..
E MAIL ADDRESS…………………………… Today's Date. _________08

Membership and Subscription Fee.
Payment of £5.00 (Yearly)
To Cover Admin Costs, News Letters Etc

Cheques Made Payable to IKRA

SAE Please:-
H.Q IKRA
The New Derry Social Club,
7 Mere Lane, Everton, Liverpool,
L5 0QW

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We will endeavour to process this application and get your membership to you as soon as possible.