Membership form image

Norfolk & Norwich Koblenz Friendship Association (NNKFA)

                                     www.nnkfa.com

 

                                             

                                            Membership Application Form

                                          

The personal details given on this form are stored in a secure spreadsheet and used to contact members on NNKFA related business only.  These will be treated with complete confidentiality and not given to any third party without your permission. 

 

 

 

Name 1:    ……………………..

 

Mobile Telephone: ……………….

  

E-Mail address:  (please print clearly)

 

 

  ……………………………………………

 

 

Name 2:    ……………………..

 

Mobile Telephone: ……………….

 

E-Mail address:  

 

 

  ……………………………………………

 

 

Address: ………………………..

 

              …………………………

 

             ………………………….

 

Post Code: ……………..

 

 

Landline Telephone: …………….

 

 

Birthday Dates:   …………….

(Not compulsory)

 

 

 

 

 

I/We agree that my/our participation in any activity or event organised by NNKFA will be entirely at my own risk and responsibility, and that I/we will not hold the association liable for any loss, injury, death, or damages, however caused.

 

Membership runs from 1st January to 31st December

Payment by   cheque / bank transfer  (delete as appropriate)

 

 

I/We have read and understood this document:

 

I/We would like to apply for membership to NNKFA.

 

 

 

 

Signed: ……………………….

 

 

 

Dated:     ………..

 

 

 

 

 

 

 

 

Please complete and return this form to Margaret, our membership secretary, either via email or by post,

                                     together with the annual subscription of £6 per person

 

           Cheques payable to NNKFA,           or

by bank transfer to Coop Bank ‘NNKFA’, 

sort code: 08-92-99, a/c 65420913

as your reference, please use ‘Subs’ and your initials

 

Thank you  Margaret Young,   membership secretary

 

Mrs M. S. Young,                                      Email:   mrsmsyoung@gmail.com          

72 School Lane, 

Sprowston,                                               tel: 01603 482485  mob: 07799 326844

Norwich, NR7 8TQ

This form can be found on the NNKFA website    www.nnkfa,com