Leigh Woods Society Membership Form

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Subscriptions are £6 for a family/household and £3 for a single person. We are encouraging everyone to use the bank transfer facilities to make their payments this year (details below).

If you are on our e-mail distribution list and have been sent an electronic copy then please return by e-mail. Alternatively, please complete the form below and hand (or post) the membership fee as cash or a cheque payable to ‘Leigh Woods Society’ to:

Bill Summers, 1 Smyth House, Bridge Road, BS8 3PE. bill.summer@btinternet.com

We want to improve and extend the frequency of communication across all Leigh Woods residents by using email or telephone to alert you to key issues and information added to the web site (www.leighwoods.org). We encourage you to provide (or amend) your current contact details to use for these purposes.

The contact details you provide will be recorded and only used to administer your membership, inform you of social events, and any other items of interest relating to the Society. Your personal details will not be passed on to any third party.

Name(s) *

Address *

Email address 1 *

Email address 2

Contact Phone 1 *

Contact Phone 2

Payment *

Paid by: Bank transfer to: The Leigh Woods Society, Sort Code: 09-01-54; A/C: 76141087

Sent cash / cheque payable to 'The Leigh Woods Society' for £6 / £ 3 (as appropriate)

Required

Bank transfer Payee Reference Number (Surname Post Code Year)

Are you willing to be on the Leigh Woods Society Committee or a sub-committee for a specific project/event, please

Yes

Are there any issues that you would like the Committee to concentrate on during the year?

Submit

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