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0800 0499 914
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Licensed Conveyancer Application Form

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Title

Forename

Surname

Practice Name

Address

Postcode

Telephone

Mobile

Email

Practice Website

Applying for

Principal Member (in practice as a principal)
Employed (limited licence holder)

Membership Fees

£360 annually by BACS
£330 annually by DD
£30 by monthly DD (12 payments)

Membership Fees

£180 annually by BACS
£160 annually by DD
£15 by monthly DD (12 payments)

CLC Licence Number

Expiry Date

How did you first come to hear about the Society?

The Smithy, Sutton Lane, Dingley, LE16 8HL
info@conveyancers.org.uk
0800 0499 914

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A company limited by Guarantee registered in England & Wales Reg No. 02361202