Please complete the form below (either by printing it and writing using BLOCK CAPITALS, or by typing in the boxes and printing out your completed form) then send it with your subscription to:

The Treasurer, Radcliffe on Trent and District Twinning Association,
14, Hamilton Drive, Radcliffe on Trent, Nottingham, NG12 1AG

Please choose from the three categories of membership:

	Individual Membership:	£5.00	.
	Family Membership:	£10.00	Open to all members of the family, any number of children up to age 18.
	Corporate Membership:	£10.00	Entitles not more than two members of the organisation the rights of Individual Members.

I / We wish to be a member(s) of the Radcliffe on Trent and District Twinning Association.

Name (or Company):

Address:

Post Code:

Please find enclosed my subscription of £ and a donation of £ .

Please make cheques payable to:
Radcliffe on Trent and District Twinning Association