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1. Please record your name *
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2. Please record your National HASSRA membership number. This now begins with HAS and can be accessed from your HASSRA Live account.
(For those based in Leeds please note any number prefixed with LEE is not your National HASSRA number. This number is for HASSRA Leeds and the Forum purposes only) *
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3. Please record your email address *
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4. Please record a contact number *
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5. Please record the name of your local HASSRA club *
6. Terms and conditions: I understand that by applying for tickets I am committing to purchasing tickets from HASSRA if I am notified that my application has been successful. Failure to pay will may result in escalation through management.