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.