FRIENDS OF THE CROMFORD CANAL
MEMBERSHIP APPLICATION FORM

Member(s) Name(s):

Address Details:

House Name:

House Number /
Street Name:

Address Line 2

Post Town:

County:

Post Code:

Telephone Number:

E-mail address:

Do you have any skills (either professional or from work or hobbies)which could be of use to the Friends?

Subscription type:
[Delete as applicable] Single Adult: Ł 6.00
Couples: Ł 9.00
Corporate: Ł30.00
Overseas membership Ł11.00
Corporate Charity Ł15.00

Do you wish to be added to the Friend's e-mail list? Yes / Not yet [Delete as applicable]

I / we have enclosed a cheque / postal order for Ł _________________________
made payable to: Friends of the Cromford Canal

Signed:
Dated:

Please return your completed application form to:

Yvonne Shattower,
Membership Secretary,
Friends of the Cromford Canal,
264, Bennett Street
Long Eaton
Nottingham, NG10 4JA

Member(s) Name(s):

Address Details:
House Name:
House Number / Street Name:
Address Line 2
Post Town:
County:
Post Code:
Telephone Number:
E-mail address:
Do you have any skills (either professional or from work or hobbies)which could be of use to the Friends?
Subscription type: [Delete as applicable]	Single Adult: Ł 6.00 Couples: Ł 9.00 Corporate: Ł30.00 Overseas membership Ł11.00 Corporate Charity Ł15.00

Do you wish to be added to the Friend's e-mail list?	Yes / Not yet [Delete as applicable]
I / we have enclosed a cheque / postal order for Ł _________________________ made payable to: Friends of the Cromford Canal
Signed:	Dated:

Please return your completed application form to:
Yvonne Shattower, Membership Secretary, Friends of the Cromford Canal, 264, Bennett Street Long Eaton Nottingham, NG10 4JA

FRIENDS OF THE CROMFORD CANALMEMBERSHIP APPLICATION FORM

FRIENDS OF THE CROMFORD CANAL
MEMBERSHIP APPLICATION FORM