Richmond and Twickenham
Friends of the Earth
Membership Form
Your support is vital for our campaigns. Membership only costs £ 7.50 per year. You can
become a member simply by filling in the membership form below, printing it out and
returning it to the address below with the standing order form or membership fee.
Thank you for your support.
Joanna Waddy, Membership Secretary,
Richmond and Twickenham Friends of the Earth, 22 Woodland Gardens, Isleworth, Tw7 6LL
MEMBERSHIP APPLICATION FORM
Your full name:
Address:
Town:
Post code:
Telephone number:
Interests
Email address:
Would you like to be subscribed to our news bulletin email list(via yahoogroups), email are sent no more than monthly. Y/N
Would you like to be subscribed to our email discussion list? Y/N Signature:
If you are interested in particular issues or have particular skills that you would
like to offer please give details below
Members need to pay by Banker's order to help keep our administrative costs
to a minimum. To do so please return the following form, completed, to the Membership
Secretary at the above address.If you could allow at least a month for start date of standing order that would also be appreciated as this gives us time to set-up.
To (your bank):
Branch Address:
Bank code number
- -
Your account number:
Please pay the sum of
on (date) and thereafter annually for the credit
of R.T.F.O.E., Alliance and Leicester, until cancelled, Account
number 346 044 00, sort code 72-00-03. Please quote my name when making each payment.
Date:
Name:
Address:
Town:
Postcode:
Signature:
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