Stoke Climsland Community Project Ltd., 
Stoke Climsland, Callington, Cornwall  PL17 8NY
APPLICATION TO BECOME A MEMBER

CHARITY No. 1069240

NAME
ADDRESS


TELEPHONE NUMBER
Email

I would like to become a member of The Old School Community Project.
I have read and understood the Membership Byelaws.

Type of Membership applied for (please tick box)                 

Individual Membership at a minimum of 10 per annum

Family Membership (Parent(s) plus all children under the age of 18 and living in the family home) at a
minimum of 20 per annum

Life Membership (per person) at a minimum of 100

Signed    ..

I enclose cash/cheque/PO for .

I would like to pay by Standing Order; my Bank details are:

..

..

..