AVON & BORDER COUNTIES ASSOCIATION OF THE W.P.C.S.

MEMBERSHIP FORM / RENEWAL

NAME  ………………………………………………………………..........

ADDRESS  …………………………………………………………………

………………………………………………………………………………

POSTCODE   …………………………………..

TEL. NO.  …………………………………………………………………..

I enclose cash/cheque for:        £ 8.00    Single Membership

                                                  £ 10.00  Joint / Family Membership

Section interested in ( please circle )   A     B     C     D     P/B    Other

Please return this form with your payment to:

THE MEMBERSHIP YEAR RUNS FROM JAN. 1^ST. – DEC 31^ST.