WEST
EALING NEIGHBOURS
Membership Application Form
Please
cut and paste into an email to send to westealingneighbours@gmail.com or print out and fill in and send to the address shown below
I would like to join West Ealing Neighbours and agree
to be bound by the brief rules as set out in the constitution (as may be
amended from time to time) as published on the yahoo group – west ealing
neighbours.
Name(s) ………………………………………………………………………
Organisation (if any)………………………………………………………………………
Address ………………………………………………………………………
………………………………………………………………………
………………………………………………………………………
………………………………………………………………………
Email: ………………………………………………………………………
Phone: ……………………………………………………………………… (optional)
Expertise and areas of support: (optional)
………………………………………………………………………
………………………………………………………………………
There is no membership fee but
donations are welcome. Note that without membership it is not possible to
become a voting member, but you will still about to contribute to discussions
on-line and attend public meetings and speak where permitted by the chair.
yes
/ no
Please leave with us or post to
the addresses below
West Ealing
Membership
Office Use: Date Received: