Reigate and Banstead Community Radio Ltd

ASSOCIATE MEMBERSHIP

MEMBERSHIP FORM

To join Reigate & Banstead Community Radio, simply print out this page, complete the details and return with your subscription to:

Reigate & Banstead Community Radio,  
c/o  82 Ardrossan Gardens, Worcester Park, Surrey, KT4 7AY. 

I hereby apply to join Reigate & Banstead Community Radio Ltd as an Associate Member.  I agree to abide to Reigate & Banstead Community Radio Ltd's constitution and associated rules and regulations.

I enclose membership fee of £10  
(Please make cheques payable to Reigate and Banstead Community Radio Ltd)

 

 

________________________________________________

(Please sign)

Name:

 

Contact telephone:

Address:

 

 

 

e-mail address:

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© Reigate and Banstead Community Radio Ltd 2010