| Membership Form
Please
complete one form for each new resident member.
Application for Membership |
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| Name | ||
| Full Postal Address
|
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| Post Code | ||
| Telephone (Optional) | ||
| E-mail (Optional) | ||
| Category (ü ) | Adult
¨
Senior Citizen ¨
Student ¨ Junior ¨ |
|
| Tower | ||
| Proposed (Signature) | ||
| Seconded (Signature)
(District Ringing Master) |
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| Election confirmed
(Signature)
(District/General Secretary) |
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| 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. |
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