Friends Membership Form

advertisement
Friends of Stanley Park
Membership Application Form
(12 month subscription, please note that membership full
renewal is due in February regardless of the date joined)
Please tick box that applies
Number
Rate
Friends of Stanley Park
(Standard Subscription)
£5.00
Young Friends of Stanley Park
no fee
Family Rate
£5.00
Total Number ________ Total_______
Exemptions at the discretion of Key Working Group
Annual Subscription, Feb to Feb every year.
Full 1 Year Membership
Name: ………………………………………………………….
Address:………………………………………………………..
…………………………………………………………………..
…………………………………………………………………..
Telephone:…………………………………………………….
Email address:…………………………………………………
Method of Payment
Cash
Cheque
Date of Joining:…………………………
Date of Membership:…………………..
Expiry Date:……………………………..
Signature __________________
Friends of Stanley Park & Salisbury Woodland
c/o Parks & Green Environment Service
Stanley Park Offices
West Park Drive
Blackpool
FY3 9HU
Download