Reigate and Banstead Community Radio Ltd

INDIVIDUAL MEMBERSHIP

MEMBERSHIP FORM

To join the 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 Individual Member. I agree to abide to Reigate & Banstead Community Radio Ltd's constitution and associated rules and regulations.

I currently live   [   ]  in the Reigate and Banstead area 

I currently work   [   ]  in the Reigate and Banstead area

I currently am studying  [   ]  in the Reigate and Banstead area

I have previously worked/studied [   ]  in the Reigate and Banstead area

(please tick above as appropriate).

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:

If working (or previously worked) in the Reigate and Banstead borough area, please state name of organisation you work for.

 

 

If studying (or previously studied) in the Reigate and Banstead borough area, please state name of institution.

 

Back to membership page

© Reigate and Banstead Community Radio Ltd 2010