Lapidus Membership - Creative words for health and wellbeing

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Please state here if you are eligible for a student/unwaged discount
Where I heard about Lapidus:

Paying by standing order? Lapidus account details are: NatWest, Sort code: 60-21-37. Account No: 56553730 *Please add the reference 'Lapidus Membership'* when setting up your standing order (and if your account name is different from the name on this form, please specify) £30 (individual) £20 (unwaged/student) £75 (organisations)
Paying by cheque? Please make payable to LAPIDUS and send with a print-out of this form to BM Lapidus London WC1N 3XX £30 (individual) £20 (unwaged/student) £75 (organisations)
I am / am not happy for my contact details to be circulated to other Lapidus members
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Please use this form if you wish to pay for membership by standing order or cheque. Members paying online do not need to fill in this form. Email to us by clicking 'Submit' at the bottom of the page. You will receive confirmation of your application by email