Membership Form

Annual Membership Fees are as follows:
Individuals
£ 7.00 |
Groups of up to 10
£ 15.00 |
Couples
£ 10.00 |
Groups and Associations of more than 10
£ 25.00 |
I/ we wish to apply for membership as an individual/
couple/ organisation and enclose cheque/ postal order
for £ ,
made payable to “BEXLEY BOROUGH PENSIONERS FORUM”
Receipts for cheques will only be issued if a stamped,
self addressed envelope is enclosed.
Name of Individual, Couple or Organisation:
__________________________________________________________________________
Name of Organisation Representative (if applicable):
___________________________________
Number of Members in Organisation:
______________________
Address: _________________________________________
Post Code: __________________
Daytime Telephone Number: ______________________________
Signature: ________________________________________
Date: ______________________
Please return to The Treasurer
John White, 32 Blendon Road, Bexley, Kent, DA5 1BW
Donations are always welcome. |