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BRITISH EDIBLE PULSE ASSOCIATION APPLICATION FORM


COMPANY NAME:___________________________________________________________________________________

ADDRESS:________________________________________________________________________________________

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CONTACT NAME:___________________________________________________________________________________

TELEPHONE NUMBER:___________________________________________________________________________________

FAX NUMBER:___________________________________________________________________________________

MOBILE NUMBER:___________________________________________________________________________________

E-MAIL ADDRESS:___________________________________________________________________________________




PROPOSED BY:___________________________________________________________________________________

SECONDED BY:___________________________________________________________________________________

Both proposer and seconder must be current BEPA members.
 
Apply by post, Fax 01366 384285 to:
Stuart Cree
The Stable Yard, Ryston Hall
Ryston, Downham Market
Norfolk. PE38 0AA