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Great Western (SVR) Association membership application form |
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| Charity Registration No. 1078718 | ||
| Name: ........................................................................... | ||
| Address: .......................................................................... | ||
| .................................................................................... | ||
| .................................................................................... | ||
| Post Code: ....................... | ||
| Email: ............................................................................. Please tick if you would like to receive the GW(SVR)A Newsletter electronically. |
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| Type of membership: | ||
| Adult | £4.00 | |
| Joint Adult | £6.00 | |
| Child (under 16) | £2.00 | |
| Senior citizen | £2.00 | |
| Joint senior citizen | £3.00 | |
| Life member | £40.00 | |
| Joint life member | £50.00 | |
| The rates are kept low to encourage members to stay in the group but if you can afford a donation, it is always most welcome . | ||
| Membership: | ....................... | |
| And a donation of: | ....................... | |
| Total: | ....................... | |
| Please send the completed form with cheque payable to 'Great Western (SVR) Association' to: | ||
| Membership Secretary |
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Together with a stamped addressed envelope.
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| Page created April 2004, last updated: 8 May, 2008 Webmaster |