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MEMBERSHIP FORM

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Yes, I would like to join the Friends of Whitcliffe Common.

Name..................................................................

Address...............................................................
 
......................................................................

...................................... Post Code......................

Tel. No. ..............................Date ..........................

Type of membership (please mark as appropriate)

..... Individual £10 ..... Family £15 ..... Life £250

..... Concessionary (Un-waged, Student, OAP)  £7 ..... Group or Society £25

Donation
I would like to make a donation to support the management and
restoration of Whitcliffe Common by making donation of £......


Please make all cheques payable to Friends of Whitcliffe Common.

It would greatly help us if you make your payment by standing order. If you would
prefer this method of donation please complete the details below & return this form to us.

Your Bank details:

........................................................Bank

Address ....................................................

......................................Post Code............. 

Sort Code .................... Account No. .................

Please pay £............. on ................. and ON THE SAME
DAY EACH YEAR until further notice to:

TSB Bank Plc - Account: Friends of Whitcliffe Common
Sort Code 772715 Account No. 03421256

Remitters reference: .......................................

Signature .......................... Date..................

Please send cheques/postal orders or completed standing order forms to:
Mrs H.Bufton, Treasurer, 56 Greenacres, Ludlow, Shropshire, SY8 1LY

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