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Start Up Grant

SOLICITORS FOR THE ELDERLY

APPLICATION FOR START UP GRANT FOR LOCAL GROUP

Name of full Member

Membership Number

Address

DX

Telephone Number

Area Co-Ordinator for Region

I, the above named member undertake on receipt of the Grant to set up an initial meeting of members and potential members for a local group of Solicitors for the Elderly within two months thereof will report back to the Administrator the numbers who attended the initial meeting and the proposals for future development and activities of the local group.

Signed…………………………………………………………………..

Dated…………………………………………………………………….

Please return the form to:

The Administrator, Solicitors for the Elderly, Suite 17, Conbar House, Mead Lane, Hertford, SG13 7AP