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CARDIAC NURSE
      SPECIALIST HELPLINE
      Available on Leeds 0113 392 5645 -
      Medical and Surgical                   Life

      COLLECTION BOXES                       Membership
      If you require a collection box,
      or your collection box needs           Form
      emptying.
      Contact Alec McLean
      on 0113 257 6548                       Please complete the following form and return
                                                 Take Heart,
                                             to:
      Or the Take Heart Office                   The Yorkshire Heart Centre,
      on 0113 392 2888.                           F Floor, Jubilee Building, LGI,
                                                 Leeds LS1 3EX.
                                             or join online at www.takeheart.net
      MORRISH SOLICITORS LLP                 Life membership fee £1.50 each
      Take Heart appreciates the             Badges £1.00 each
      continuing support of our              Life membership is open to everyone.
      honorary solicitors.                   Member 1
      They offer free initial  legal advice   Forename: (Mr/Mrs/Ms) ........................................
      to our members and their families      (delete as appropriate)
                                             Surname: .................................................................
      Tom Morrish                            Member 2
      Yeadon Office: 033 3344 9609           Forename: (Mr/Mrs/Ms) ........................................
                                             (delete as appropriate)
      Kiranjeet Chana                        Surname: .................................................................
      Pudsey Office: 033 3344 9606
                                             Address: ...................................................................
      CHANGE OF ADDRESS
      Please be sure to let us have full     ...................................................................................
      details if you move house so that
      we can keep our database up to         ...................................................................................
      date for posting out newsletters       ...................................................................................
      etc. and if you ever want to stop
      receiving our newsletters, you only    Postcode: ................................................................
      have to ask.
                                             Telephone: ..............................................................

                                             Date: .........................................................................
                                             I have enclosed fee(s) of:
                                             Couple £3.00/Single £1.50.
                                             I have also enclosed badge fee(s) of £2.00/£1.00
                                             (delete as appropriate)
                                             PLEASE  MAKE  CHEQUES
                                             PAYABLE  TO  TAKE  HEART

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