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Registration Form

Firstname*:
Surname*:
Email*:
Re-enter email*:
Male / Female*:
Male
Female
Are you on the Electoral Roll of Great Malvern Priory?*:
Do you live in the parish of Great Malvern Priory?*:
Are you a member of the Friends of Great Malvern Priory?*:
If you have answered 'no' to all the above, please tell us your connection with the Priory, and..:
please name one or two people in the Priory who know you - thanks!:
Please enter the verification number on the right:*
six five five seven seven
I have read and agreed to the terms and conditions
*required fields