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I would like to become a volunteer
My area(s) of interest as a volunteer are:
Bookkeeping
Visiting the sick
Fundraising
Administration or clerical work
Other (please give details)
Counselling
Date
We are making progress in our efforts to prevent heart disease and stroke but there is still a long way to go.
WE NEED YOUR SUPPORT
Name
Address
Parish
Postal Code
Home Tel:
Work tel:
e-mail
Occupation/
Profession
Signature of
Applicant
