APPLICATION FOR MEMBERSHIP
PLEASE USE BLOCK CAPITALS TO FILL IN THIS FORM, thank you!
Name
(1)
(2)
Address:
Postcode Tel:
E-mail address
I/we support the campaign to improve the Ashford to Hastings rail link and apply to become a member/s of “MLAG”
I/we enclose the sum of (please tick the appropriate box and fill in any additional donation amount, followed by the total amount):
Payment:
Annual membership fee (from 1 January 2018)
Member (1) £ 3.00
Member (2) £ 3.00 (delete if not appropriate)
Donation £
Total _____
Signature Date
To update our membership records we would like to enter the details you have given above on to a computer. We will not release this information to anyone outside MLAG. If you object to this information about you being held on computer, please tick here
When completed, please return, together with your remittance (£3 minimum, with cheques made payable to “MLAG”) to:
Alternatively (and better for us) you can send your subscription payment by bank transfer to our National Westminster bank account:
The Marsh Link Action Group
Sort Code 60-18-19
Account Number: 16002032
Mr David Bookless
MLAG Membership Secretary
3 Faraday House
RYE
East Sussex TN31 7EW