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DEBIT ORDER AUTHORISATION *
If you do not wish to register to become a voting member of the LRA please place a tick in the box

By contributing from R100 per month to the Lonehill Residents Association Envirofund you will be taking an active part in improving YOUR quality of life in Lonehill.

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Your signature above represents the consent for the collecting and processing the information in order to register you as an EnviroFund contributor and shall remain in effect during the entire period you remain a contributor towards the EnviroFund of the Lonehill Residents Association (NPC).