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2607e411e7064912a906b0126b0618132f068213f305ec13b80558147d05c614440534150c05a415d40415169e0488166804fb16330470170004e617cd035d18 9c03d5186b034e193c03c8190d03431ae002c01ab4023d1b8902bc1b5f023b1c3602bb1c0f023d1de901bf1dc401421ea001040000002d010200040000002d01030004000000f0010400030000000000}\par}}}{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\fs28\insrsid15104315 \par }{\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\fs28\insrsid6451543 \par \par \par }{\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\fs28\insrsid15104315 APPLICATION FOR MEMBERSHIP \par }\pard \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\nooverflow\faroman\rin0\lin0\itap0 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\fs28\insrsid15104315 \par }{\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\fs28\insrsid15104315 I would like to become a member of ELCAP. \par }{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \b\f1\fs16\insrsid15104315\charrsid12994559 \par }{\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\fs28\insrsid15104315 I agree that people with }{\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\fs28\insrsid6451543 support needs}{\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\fs28\insrsid15104315 should receive the support they need to live their own chosen way of life. \par }{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \b\f1\fs16\insrsid15104315\charrsid12994559 \par }{\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\fs28\insrsid15104315 I agree to support ELCAP\rquote s efforts to deliver appropriate services to meet the needs of each individual, to promote the rights of people with disabilities, and to promote the development of more inclusive communities. \par }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\fs28\insrsid15104315 \par }\pard\plain \ltrpar\s19\ql \li0\ri0\widctlpar\wrapdefault\nooverflow\faroman\rin0\lin0\itap0 \rtlch\fcs1 \af1\afs20\alang1025 \ltrch\fcs0 \f1\fs28\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af1 \ltrch\fcs0 \insrsid15104315 Signature .....................................................Date ........................... \par }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\nooverflow\faroman\rin0\lin0\itap0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \fs20\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\fs28\insrsid15104315 \par Name (please print).............................................................\'85\'85\'85. \par \par }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\fs28\insrsid12994559 Address}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\fs28\insrsid15104315 ........................................................................................... \par \par ........................................................................................................ \par \par Post Code......................................... Phone No ........................... \par \par Email address\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85.. \par \par }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\fs28\insrsid6451543 ELCAP is a }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\fs28\insrsid15104315 company limited by guarantee, registered in Scotland No. 116745, and with charitable status, Scottish Charity Number SC003159. \par }\pard \ltrpar\ql \fi720\li0\ri0\widctlpar\wrapdefault\nooverflow\faroman\rin0\lin0\itap0\pararsid6451543 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\fs28\insrsid15104315 Registered office: \par }\pard \ltrpar\qj \fi720\li0\ri0\widctlpar\wrapdefault\nooverflow\faroman\rin0\lin0\itap0\pararsid6451543 {\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\fs28\insrsid15104315 Woodbine Cottage \par West Loan \par PRESTONPANS \par East Lothian \par EH32 9WU \par }\pard \ltrpar\ql \li0\ri0\widctlpar\tx1701\tx2552\wrapdefault\nooverflow\faroman\rin0\lin0\itap0 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\fs28\insrsid15104315 \par Please return this form to :\tab }{\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\fs28\insrsid15104315 ELCAP at the above address}{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid15104315 \par }\pard \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\nooverflow\faroman\rin0\lin0\itap0 {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs22\insrsid15104315 \par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\fs16\insrsid12994559 \par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\fs16\insrsid15104315 FOR OFFICE USE ONLY}{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs16\insrsid15104315 \par \par }\pard \ltrpar\ql \li0\ri0\widctlpar\tx1701\wrapdefault\nooverflow\faroman\rin0\lin0\itap0 {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs16\insrsid15104315 Date Applied\tab ........../........../.......... \par \par Date Accepted\tab ........../........../.......... \par \par Date Resigned \tab ........../........../.......... \par \par Membership Number \'85\'85\'85\'85\'85\'85\'85\'85.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs22\insrsid15104315 \par }{\*\themedata 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