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STRIPSEARCHERS SUBMISSION FORM.....................................PRINT
(Print this form and send it in with your application.)


NAME




AGE




GENDER




DATE OF BIRTH




ADDRESS (Inc. Post Code)




CONTACT NUMBERS




EMAIL (If applicable)




OCCUPATION




HOW YOU HEARD ABOUT THE SCHEME
(If it was via press, please provide details of the newspaper including the date.)



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Please send your application to:

Jemima Cattel
StripSearchers
Hi8us Midlands Ltd
Heath Mill Lane
Birmingham B9 4AL

For further details about submissions contact:
Jemima Cattel on 0121 693 0242 or