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Royal British Legion Questionnaire

Title:	Please Choose Mr Mrs Ms Miss Dr
First Name:
Middle Names:
Surname:
Address:
Telephone:
Marital Status:	Please Choose Single Divorced Cohabiting Remarried Married Widow/ Widower
RBL Member	Please Choose Yes No
Armed Forces Member	Please Choose Yes No
Provide for my husband /wife/partner:	Please Choose Yes No
Provide for my children:	Please Choose Yes No
Provide for my grandchildren:	Please Choose Yes No
Appoint a guardian for my children:	Please Choose Yes No
Save inheritance tax:	Please Choose Yes No
Please Provide your spouse/partner/s full name:
Please Provide your children's names & ages
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Day
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