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Application for Membership
If you would like to join us then please:
1.
Fill in the following details
Name
Street
Area
Town
County
Post Code
Telephone
E-mail
2.
If you could fill in any of the following it would be helpful, but this information is entirely optional
Age
Under 18
18 - 29
30 - 44
45 - 59
60 or over
Ethnic background
How did you hear about MWM?
What involvement have you had in similar organisations?
3.
Print out the completed form and send it, together with your contribution (payable to 'MWM'), to:
Margaret Williams
11 Butterley Drive
Loughborough
Leics.
LE11 4PX
Tel: 01509 828020
E-mail:
mde_williams@ntlworld.com
Suggested minimum contributions to cover administration costs and to enable us to continue our aims:
Waged
£10
Unwaged & senior citizens
£5
Family
£15
Life (over 60's only)
£35
If you pay UK income tax your gift could be increased by 28% at no cost to yourself by 'gift aiding' your donation. If you would like to do this please tick this box:
If you would like to know more about 'gift aid' please tick this box: