DDA ANNUAL REPORT 2001

Membership Form
Please complete one form for each new resident member.
	Application for Membership
			Name
			Full Postal Address
			Post Code
			Telephone	(Optional)
			E-mail	(Optional)
			Category (ü )	Adult ¨ Senior Citizen ¨ Student ¨ Junior ¨
			Tower
			Proposed	(Signature)
			Seconded (District Ringing Master)	(Signature)
			Election confirmed (District/General Secretary)	(Signature)
			Date of election
		Once elected, please send this form, together with a cheque for your subscription (at current rates^†) made payable to "The Derby Diocesan Association of Church Bellringers", to the Treasurer. Prospective members should note that their Personal Data will be held by the Association on computer databases, and details of any peals rung will be published on the Internet. ^{†Subscription rates for 2002: Adult £7; Senior Citizen (age 65+ man, 60+ woman): £5;} ^{Student (to age 22 in full time education) £4; Junior (under 16): £3}