RENEWAL FORM

RENEWAL of BROOK MEADOW CONSERVATION GROUP MEMBERSHIP
Each year’s membership year runs from 1 September to 31 August, so your annual subscription for membership of the Brook Meadow Conservation Group is due for renewal on 1st September. The subscription is £3 per person (children under 16 are free provided one of the parents is a member). If you renew your membership by Standing Order please ignore this notice. Use the form below and return with your membership fee and/or donation to Pam Phillips, Membership Secretary, at the address given below.
Name(s):……………………………………………………………………………………………………………

Address:…………………………………………………………………………………………………………….

………………………………………………………………………… ……………………………………………..

Phone: ……………………………………………………………..

E-mail ……………………………………………………………..………………………………………………

Name(s) of children under 16:

……………………………………………………………………………………………………..

I enclose £ …….. (£3 per person) for my/our subscription.

I would also like to make a donation to the Brook Meadow Conservation Group amounting to £ ………..

I enclose cash amounting to £ ……… or a cheque for £ ……… made payable to:
‘BROOK MEADOW CONSERVATION GROUP’

Please take or send this form and your payment to:
Please return this application form together with your payment to:
Pam Phillips (Membership Secretary) . . . Phone: 01243 377791
2, The Rookery Emsworth PO10 8AH
E-mail: p.phillips367@btinternet.com


PAY BY STANDING ORDER
Pay your subscription by standing bank order by using this form . . .
Standing Order Form

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