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Membership form.
Please print out this form and send it with your membership fee to Iain Street, 5 Calder Road, Bellsquarry, Livingston, EH54 9AA or bring it along to one of our meetings.
The canal society membership subscription is fairly low thus allowing scope for members who wish to express their support for the Society to make a donation in the form of an additional contribution.
The Bridge 19-40 Canal Society is a voluntary organisation and partly depends on the generous donations and contributions of its members and supporters of its work.
Name ____________________________
Address __________________________, ________________________, _________________
Post Code _______________ Telephone number __________________
Email address ________________________________
Type of membership (please underline)
Individual £5 Junior £2 Family £10 Corporate £25
Donation of £ also enclosed.
If you have chosen to pay by Standing Order, please complete the attached form for your bank, and let us know by filling in the bit below, giving us details of the regular payment you have chosen.
Standing Order Y/N £ per month, quarter, year, etc.