| Membership Form INTERNET(drifnav.co.uk) | ||||||||
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| Please feel free to print off this form, complete it and send it with your remittance to the Membership Secretary. | ||||||||
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| MEMBERSHIP APPLICATION/RENEWAL FORM | ||||||||
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| Thank you for your support for Driffield Navigation Amenities Association | ||||||||
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| Name: ........................................................ | ||||||||
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| Address: | (Please indicate any change of address if this is a renewal) | |||||||
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| Post Code: ......................... | ||||||||
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| Phone Number: .......................................... | ||||||||
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| E-mail Address: .......................................... | ||||||||
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| Boat Name (if any) .............................. | ||||||||
| Single member (new/renewal) .5 | ||||||||
| Unwaged (new/renewal) 3 | ||||||||
| Family membership (new/renewal) ..7 | ||||||||
| I wish to take out Life membership ..65 | ||||||||
| I enclose a donation to support work to improve the canal .._______ | ||||||||
| I enclose a cheque/postal order for the total of .._______ | ||||||||
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tick appropriate boxes above) |
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| Return form with payment to: | ||||||||
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| Cheques or postal orders should be made payable to "DNAA". | ||||||||
| Ask if you wish to see the Driffield Navigation Amenities Association constitution and rules for members. Can you recruit a friend or colleague? Enter details of a prospective member overleaf - we will contact them. | ||||||||
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| The Driffield Navigation Amenities Association, Registered Charity No 515861 | ||||||||