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