Individual Membership Application Form - Allens Cross Community Association

Individual Membership Form

I would like to apply for individual membership of Allens Cross Community Association at £5 for a 12 month period.

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Name

First

Last

Name Preferred Date

Phone

Postcode

Please tell us your home postcode

Preferred Start Date

Preferred Payment Method

Cash - please come to the office
Cheque - please come to the office
BACS transfer

Please make cheques payable to: "Allens Cross Community Association". Please make BACS payments to: Lloyds Bank - Account number: 00325718 - Sort Code: 30 96 12

Terms and Conditions

I agree to the terms and conditions of membership. Failure to comply may result in the cancellation of membership and associated benefits.

RULES OF MEMBERSHIP
1. Individuals within the area of Allens Cross and the immediately adjacent areas of Northfield.
Weoley, Frankley and Bartley Green are entitled to apply.
2. An application form must be completed and submitted with the membership fee to be valid.
3. A discount of 10% is applied to room hire by a member.
4. Each member is entitled to one vote at the Annual General Meeting.