membership application
 

 

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Note:  Please print out this form  before filling it in.  Then post it, with your subscription, to Kelvin Sutton at the address below.  Thank you.

  Subscription Application & Renewal
  first name  
  last name  
  title  
  address  
   
   
  post code  
  telephone  
  email  
  Household                        £5-00  
  Donation  (optional)                         £________  
  Total                                               £_________  

Please enrol me as a member of The Worlds End Association for ONE year.

(Subscriptions are due in January, each year).

signed:   ______________________

date:      _____________________

Send to:  Kelvin Sutton

                 WEA Treasurer

                 22 Janes Lane

                 Burgess Hill

                 RH15 0QR