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Associate Application Form

Information given by you is confidential and will not be released to third parties. Completing this form places no obligation on you or any other party.

Name
Date of birth
Address
Postcode
Telephone number
Mobile number
E-mail
Sex	MF
Hobbies and interests
Are you currently working?	Part Time Full Time Unemployed
How much time are you able to devote to this business? (hours per week)
What interests you about this business
Do you currently have:
Own transport?	YN
Access to a computer?	YN
Access to the internet?	YN
Digital camera	YN