Print
this form | Close this window Print
this form | Close this window
Regency Square Area Society: Membership
To: Andrew Walker, 9 Chartwell Court, Russell Square, Brighton BN1 2EW
Please enrol me as a member of the Regency Square Area Society for the year 2007/2008 in the category of membership shown below (please circle your choice):
Note: Ordinary members must live in the Society's area
|
Ordinary Member |
£4.00 |
| Family (2 adults plus any children) | £4.50 |
| Senior Citizen | £3.50 |
| Associate (non-resident) | £3.50 |
| Business (non-resident) | £6.50 |
Please add a donation to your subscription if you can. Associate members who live more than 15 minutes walk from Regency Square are asked to include a donation to cover the cost of mailing ten one page newsletters per year.
|
Basic subscription |
£________ |
| Optional donation | £________ |
| Total enclosed | £________ |
Name(s)
_____________________________________________________________
Address
_____________________________________________________________
_____________________________________________________________
Please make cheques payable to Regency Square Area Society.
Members' details are stored on computer for administrative purposes only