Membership

Designed by ClystNet Ltd

	If you feel that you are able to help please fill in the form below indicating in which area you would be able to assist and send it back to us. We will then get back in touch with you.
Full Name *
Adddress
Phone Number
E-mail *
	How would you like to help us?
	Volunteer at the day centreVolunteer DriverJoin the 100 clubCollectionsManning the phoneHelp at coffee morningsThe fun walk/runSponsoring a committee member for the fun run
	Would you like to become an annual member? Membership costs £5 or £7 for couples
	Yes No
Any comments *	Please enter your comments here
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