Membership Form

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Annual Membership is £5,  renewable in October.

 Concession or half-year membership is available for £3

MEMBERSHIP APPLICATION FORM

Name: ……………………………………………………………………………

Organisation: (where appropriate)

………………………………………………………………………………………

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

……………………………………………………………………………………..

……………………………………………………………………………………..

Tel. No: …………………………………………………………………………

Email: …………………………………………………………………………..

(Penge Forum will only use your email address to let you know about matters concerning Penge Forum.)

Please complete the above and forward, with your cheque for £5.00, made payable to “Penge Forum”, and hand to one of our Committee Members or forward to:

Penge Forum c/o Mr Stephen Brushett

43, Cottingham Road

Penge

SE20 7PU

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