PLEASE FILL IN AND THEN PRINT OFF (IN THAT ORDER)
New application or Renewing (TICK) Oct 2016/2017 Oct 2017/2018 (TICK)
Title First Name SurnameAddress Postcode email Telephone Mobile
I wish to apply for ASSOCIATE or FULL MEMBERSHIP (tick)
FULL MEMBERSHIP entitles you to newsletters, invitations to meetings and the right to vote. Full membership is generally for those who take an active interest in The Society and/or are able to undertake some voluntary work.
ASSOCIATE MEMBERSHIP (Newsletter only) will suit those who wish to keep up with Society events and receive the newsletter but not take an active role.
I wish to pay a £12 or £6 (low income) or free (unwaged volunteers only) Plus Donation (optional) of:£ Total £
I am enclosing a Cheque payable to The Wooden Canal Boat Society Ltd.
I have made a single transfer to Coop Bank Sort Code 08-92-99
A/C 65789829 with my name as the reference on (DATE)
I have also set up an annually repeated transfer to Sort Code 08-92-99
A/C 65789829 with my name as the reference. starting from 30/10/2017
I have handed cash to on (DATE)
Are you able to receive the newsletter by email? Yes No (TICK)
Please consider this option to help with our funds. We shall NEVER pass your address on to 3rd. parties and will only use for the Newsletters and, infrequently, for other important Society news.
I agree that any information given on this form may be stored on a computer database to be used solely by the WCBS.
Please post your completed application form to Membership Secretary, The Wooden Canal Boat Society Ltd, 173 Stamford Street,, Ashton under Lyne, Greater Manchester OL7 6PS. Or email to firstname.lastname@example.org. If you wish to hand deliver to the shop it will be put in a locked box under the cash desk and which will be emptied once a week. Subscription/membership payments become payable in October of each year.